Individual
JOHN W POLK IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
330 WALLER AVE STE 275, LEXINGTON, KY 40504-2930
(859) 447-8600
(859) 447-8599
Mailing address
330 WALLER AVE STE 275, LEXINGTON, KY 40504-2930
(859) 447-8600
(859) 447-8599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006531
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100810440
—
KY
Enumeration date
09/22/2014
Last updated
08/15/2023
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