Individual
NATHAN DEAN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 817-3599
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 817-3599
(859) 817-7848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP033412T
KY
225100000X
Physical Therapist
PT021310
OH
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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