Individual
JEFFREY ALLEN METCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11902 OAK BAY PL, LOUISVILLE, KY 40245-6476
(502) 550-2525
Mailing address
11902 OAK BAY PL, LOUISVILLE, KY 40245-6476
(502) 550-2525
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AO1945
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3670
4628
KY
05
—
3670
—
KY
Enumeration date
08/18/2011
Last updated
08/18/2011
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