Organization
PHYSICAL THERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY WALLACE PT (OWNER)
(270) 360-9129
Entity
Organization
Contact information
Practice address
505 HIGH STREET, BRANDENBURG, KY 40108-1317
(270) 360-9129
(270) 234-8197
Mailing address
403 N MILES ST, ELIZABETHTOWN, KY 42701-1834
(270) 360-9129
(270) 234-8197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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