Organization
KAREN DECKARD THERACARE PHYSICAL THERAPY
Active
Other names
THERACARE PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN YEVETT DECKARD PT (PT OWNER)
(270) 251-3590
Entity
Organization
Contact information
Practice address
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1194
(270) 251-3590
(270) 251-3586
Mailing address
PO BOX 187, MAYFIELD, KY 42066-0015
(270) 251-3590
(270) 251-3586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002616
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000067871
ANTHEM BCBS
KY
01
—
1437252756
NPI INDIVIDUAL
KY
05
—
8700058400
—
KY
01
—
DE5082
RR MEDICARE GROUP
KY
01
—
P00297296
RR MEDICARE INDIVIDUAL
KY
Enumeration date
11/30/2006
Last updated
07/28/2008
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