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Organization

KLD THERAPY PLLC

Active
Other names
Active Rehab and Fitness
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEITH ANDREW DUERLER P.T. (OWNER)
(859) 797-5513
Entity
Organization

Contact information

Practice address
880 CORPORATE DR STE 202, LEXINGTON, KY 40503-5449
(859) 797-5513
(859) 898-0538
Mailing address
PO BOX 911063, LEXINGTON, KY 40591-1063
(859) 797-5513
(859) 898-0538

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3352
KY
225100000X
Physical Therapist
261QP2000X
Physical Therapy Clinic/Center

Other

Enumeration date
12/08/2009
Last updated
07/11/2023
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