Organization
OSPTKY, LLC
Active
Other names
Orthopedic & Sports PT of Lincoln Co
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY S WHEELDON (MEMBER/OWNER)
(502) 426-2221
Entity
Organization
Contact information
Practice address
132 FRONTIER BLVD STE 106, STANFORD, KY 40484-6516
(606) 257-0005
(606) 262-4132
Mailing address
1868 PLAUDIT PL STE B, LEXINGTON, KY 40509-2429
(859) 264-0512
(859) 264-0595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100523400
—
KY
Enumeration date
03/06/2018
Last updated
02/07/2023
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