Individual
CHRISTOPHER DISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12935 SHELBYVILLE RD, LOUISVILLE, KY 40243-1592
(502) 489-8002
Mailing address
7907 STONYDALE LN, LOUISVILLE, KY 40220-5037
(502) 649-3680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006318
KY
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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