Organization
SCOTT COUNTY PHYSICAL THERAPY, LLC
Active
Other names
Scott County Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACLYN L TEVELDE (OFFICE MANAGER)
(502) 863-4242
Entity
Organization
Contact information
Practice address
208 BEVINS LANE, #F, GEORGETOWN, KY 40324
(502) 863-4242
(502) 570-9813
Mailing address
208 BEVINS LANE, #F, GEORGETOWN, KY 40324
(502) 863-4242
(502) 570-9813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100036150
—
KY
Enumeration date
07/18/2005
Last updated
10/01/2020
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