Organization
INEZ PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRISHA M GIOMPALO PT (OWNER PRESIDENT)
(606) 298-4567
Entity
Organization
Contact information
Practice address
65 OTTO DR, INEZ, KY 41224-8807
(606) 298-4567
(606) 298-7073
Mailing address
65 OTTO DR, INEZ, KY 41224-8807
(606) 298-4567
(606) 298-7073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002946
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2487
MEDICARE ID
KY
Enumeration date
10/26/2006
Last updated
10/03/2016
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