Organization
KIDVANCE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE JONES PT, DPT (OWNER)
(502) 550-2158
Entity
Organization
Contact information
Practice address
2103 HILLCIRCLE RD, LOUISVILLE, KY 40214-5939
(502) 550-2158
Mailing address
2103 HILLCIRCLE RD, LOUISVILLE, KY 40214-5939
(502) 550-2158
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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