Individual
GLENN J DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
474 WHIRLAWAY DR, DANVILLE, KY 40422-9037
(859) 238-7650
(859) 238-4160
Mailing address
474 WHIRLAWAY DR, DANVILLE, KY 40422-9037
(859) 238-7650
(859) 238-4160
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT001347
KY
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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