Organization
PERFORMANCE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT SAMUEL CROOK P.T. (PHYSICAL THERAPIST)
(859) 887-0599
Entity
Organization
Contact information
Practice address
2061 LEXINGTON RD, NICHOLASVILLE, KY 40356-9704
(859) 887-0599
(859) 887-0979
Mailing address
2061 LEXINGTON RD, NICHOLASVILLE, KY 40356-9704
(859) 887-0599
(859) 887-0979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001503
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700835410
NPI INDIVIDUAL NUMBER
—
Enumeration date
10/25/2010
Last updated
01/26/2011
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