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Individual

CORY JOSEPH FEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
11901 SHELBYVILLE RD, LOUISVILLE, KY 40243-1077
(502) 245-3774
(502) 254-8767
Mailing address
11901 SHELBYVILLE RD, LOUISVILLE, KY 40243-1077
(502) 245-3774
(502) 254-8767

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005368
KY
2251X0800X
Orthopedic Physical Therapist
PT-005368
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT-005368
STATE LICENSE
KY
Enumeration date
01/14/2009
Last updated
05/24/2016
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