Individual
MICHAEL NELSON CAUDILL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T.
Contact information
Practice address
1650 BRYAN STATION RD STE 110, LEXINGTON, KY 40505-2139
(859) 293-6133
Mailing address
1650 BRYAN STATION RD STE 110, LEXINGTON, KY 40505-2139
(859) 293-6133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005876
KY
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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