Organization
SN KENTUCKIANA REHAB, LLC
Active
Parent organization
SELECT MEDICAL
Other names
KORT Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELECT MEDICAL
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
543 TAYLORSVILLE RD STE 101, TAYLORSVILLE, KY 40071-6766
(502) 477-6410
(502) 477-9546
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
02/06/2019
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