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Individual

ROBERT A SELLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141
Mailing address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
002321
KY
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
002321
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000190632
BC FOR PRA
KY
01
000000310944
BC FOR RICHMOND
KY
01
650025971
RAILROAD MEDICARE
KY
05
87001376
KY
Enumeration date
11/02/2005
Last updated
05/31/2017
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