Individual
DAYLEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-7300
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005918
IL
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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