Organization
BEE ACTIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER NOEL HENDERSON PT,DPT (DOCTORATE OF PHYSICAL THERAPY)
(865) 809-2483
Entity
Organization
Contact information
Practice address
245 PLEASANT POINTE DR, LEXINGTON, KY 40517-4477
(865) 809-2483
(859) 268-8507
Mailing address
245 PLEASANT POINTE DR, LEXINGTON, KY 40517-4477
(865) 809-2483
(859) 268-8507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT005482
KY
252Y00000X
Early Intervention Provider Agency
Primary
005482
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245563428
INDIVIDUAL NPI
KY
Enumeration date
05/03/2010
Last updated
10/20/2010
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