Organization
PROGRESSIVE SPORTS THERAPY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA PHELPS (OWNER)
(270) 685-9499
Entity
Organization
Contact information
Practice address
1605 SCHERM RD STE 1, OWENSBORO, KY 42301-5300
(270) 685-9499
Mailing address
1605 SCHERM RD STE 1, OWENSBORO, KY 42301-5300
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
05/11/2022
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