Individual
MICHAEL RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 W OAK ST, LOUISVILLE, KY 40203-2800
(502) 589-3211
Mailing address
211 W OAK ST, LOUISVILLE, KY 40203-2800
(502) 589-3211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3684
ID
Other
Enumeration date
03/28/2015
Last updated
03/28/2015
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