Organization
BROWN PHYSICAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY HUNT (OFFICE SUPERVISOR)
(270) 988-7213
Entity
Organization
Contact information
Practice address
5524 REIDLAND RD, PADUCAH, KY 42003-0955
(270) 898-0804
(270) 898-0847
Mailing address
139 HIGHLAND DR, MADISONVILLE, KY 42431-9154
(270) 825-2158
(270) 825-1277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000360
KY
225100000X
Physical Therapist
000361
KY
225100000X
Physical Therapist
000477
KY
225100000X
Physical Therapist
002095
KY
225100000X
Physical Therapist
002363
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20062202
BLUE CROSS
KY
05
—
8790027000
—
KY
Enumeration date
03/30/2007
Last updated
08/22/2020
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