Individual
DANIEL JOE CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
413 CRASES BR, LETCHER, KY 41832-9053
(606) 262-4969
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03262
KY
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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