Organization
SCOTT COUNTY PHYSICAL THERAPY, LLC
Active
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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