Individual
DR. JOHN LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 WEDDINGTON BRANCH RD, PIKEVILLE, KY 41501-3204
(606) 637-1830
Mailing address
PO BOX 2530, PIKEVILLE, KY 41502-2530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007074
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007074
—
KY
Enumeration date
06/07/2017
Last updated
06/07/2017
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