Organization
OSPTKY LLC
Active
Other names
Orthopedic & Sports PT of Madison Co
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY S WHEELDON (MANAGING MEMBER/OWNER)
(502) 426-2221
Entity
Organization
Contact information
Practice address
171 N KEENELAND DR, RICHMOND, KY 40475-8687
(859) 575-1888
(859) 575-4121
Mailing address
1868 PLAUDIT PL STE B, LEXINGTON, KY 40509-2429
(859) 264-0512
(859) 264-0595
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
06/07/2018
Last updated
06/07/2018
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