Individual
GREGORY ROSS MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6641 DIXIE HWY, LOUISVILLE, KY 40258-3909
(859) 301-2663
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/04/2023
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