Individual
COREY DALE VOGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-5987
Mailing address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-5987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005745
KY
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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