Individual
DUSTIN MICHAEL GOLEBIESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
120 N WATER ST, GEORGETOWN, KY 40324-1354
(859) 559-7576
Mailing address
160 PEDRO WAY, WINCHESTER, KY 40391-8354
(859) 745-2152
(859) 745-2153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
002857
WV
225100000X
Physical Therapist
Primary
005729
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810019101
—
WV
01
—
P00858199
MEDICARE RAILROAD
—
Enumeration date
08/20/2010
Last updated
03/11/2021
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