Individual
CLINTON THOMAS LEFEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
175 MEDPARK DR, SOMERSET, KY 42503-2734
(606) 679-1761
(606) 678-0971
Mailing address
175 MEDPARK DR, SOMERSET, KY 42503-2734
(606) 679-1761
(606) 678-0971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005149
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225875
BCBS
KY
05
—
879003950
—
KY
Enumeration date
07/05/2007
Last updated
04/02/2014
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