Organization
MAX PERFORMANCE PHYSICAL THERAPY AND SPORTS REHAB, LLC
Active
Organization
MAX PERFORMANCE PHYSICAL THERAPY AND SPORTS REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ALICE CREQUE MSPT (DIRECTOR OWNER)
(502) 647-0133
Entity
Organization
Contact information
Practice address
141 STONECREST RD, UNIT 2, SHELBYVILLE, KY 40065
(502) 647-0133
(502) 647-0138
Mailing address
141 STONECREST RD, UNIT 2, SHELBYVILLE, KY 40065-8166
(502) 647-0133
(502) 647-0138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004464
KY
Other
Enumeration date
12/15/2006
Last updated
08/22/2020
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