Organization
KAREN DECKARD THERACARE PHYSICAL THERAPY
Active
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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