Organization
VIBRANT THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA MARIE PADGETT OTR/L (PRESIDENT)
(270) 766-1055
Entity
Organization
Contact information
Practice address
1205 WOODLAND DR, SUITE B100, ELIZABETHTOWN, KY 42701-2709
(270) 766-1055
(270) 766-1056
Mailing address
1205 WOODLAND DR, SUITE B100, ELIZABETHTOWN, KY 42701-2709
(270) 766-1055
(270) 766-1056
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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