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Organization

SOUTH SHORE PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHANNON DALE KISER (CEO)
(606) 922-2591
Entity
Organization

Contact information

Practice address
192 BIGGS LANE, SOUTH SHORE, KY 41175-7847
(606) 326-9443
(606) 326-9443
Mailing address
192 BIGGS LN, SOUTH SHORE, KY 41175-7847

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
07/22/2010
Last updated
07/22/2010
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