Organization
ATLAS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STREETER (VICE PRESIDENT)
(800) 699-9395
Entity
Organization
Contact information
Practice address
100 KIANA CT STE A, PADUCAH, KY 42001-6767
(270) 443-0681
(270) 442-7948
Mailing address
PO BOX 932184, ATLANTA, GA 31193-4912
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2643
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100374460
—
KY
Enumeration date
11/02/2015
Last updated
11/18/2023
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