Individual
RICHARD F HERBOLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2537 LARKIN RD, LEXINGTON, KY 40503-3201
(859) 277-5703
(859) 275-1624
Mailing address
2537 LARKIN RD, LEXINGTON, KY 40503-3201
(859) 277-5703
(859) 275-1624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000901
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000901
STATE LICENSE
KY
Enumeration date
08/15/2012
Last updated
08/15/2012
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