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Individual

DANIEL M. ROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1207 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-8529
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007011
KY
2251X0800X
Orthopedic Physical Therapist
007011
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100489430
KY
Enumeration date
09/08/2017
Last updated
04/07/2025
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