Individual
MATTHEW JACOB MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
103 BUFFALO RUN CT, GEORGETOWN, KY 40324-8104
(606) 483-7660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007561
KY
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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