Organization
MOUNTAIN THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SIZEMORE (OWNER/MEMBER)
(606) 813-1819
Entity
Organization
Contact information
Practice address
9821 KY HIGHWAY 476, HAZARD, KY 41701-5533
(606) 813-1819
Mailing address
9821 KY HIGHWAY 476, HAZARD, KY 41701-5533
(606) 813-1819
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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