Organization
PROACTIVE PHYSICAL THERAPY
Active
Other names
ProActive Physical Therapy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON EVANS PT, DPT (OWNER)
(812) 406-6854
Entity
Organization
Contact information
Practice address
812 LYNDON LN STE 101, LOUISVILLE, KY 40222-3844
(812) 406-6854
(502) 792-7283
Mailing address
10012 SPRUCE GROVE DR, LOUISVILLE, KY 40299-3380
(812) 406-6854
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
01/05/2024
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