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Organization

ORTHOPEDIC & SPORTS PHYSICAL THERAPY PLLC

Active
Parent organization
ORTHOPEDIC & SPORTS PHYSICAL THERAPY
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOPEDIC & SPORTS PHYSICAL THERAPY
Authorized official
KEISHA SNIPP (OFFICE MANAGER)
(859) 887-0599
Entity
Organization

Contact information

Practice address
460 EAST BRANNON ROAD, NICHOLASVILLE, KY 40356
(859) 887-0599
(859) 887-0979
Mailing address
460 EAST BRANNON ROAD, NICHOLASVILLE, KY 40356
(859) 887-0599
(859) 887-0979

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100159410
KY
Enumeration date
04/11/2012
Last updated
02/10/2017
About Stedi
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  • EDI platform