Organization
DYNAMIC MEDICAL AND REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAINE LISNER (OWNER)
(502) 426-9200
Entity
Organization
Contact information
Practice address
3747 DIANN MARIE RD, LOUISVILLE, KY 40241
(502) 426-9200
Mailing address
3747 DIANN MARIE RD, LOUISVILLE, KY 40241
(502) 426-9200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/05/2021
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