Organization
M&M PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE MAGNESS (PHYSICAL THERAPIST)
(502) 523-1741
Entity
Organization
Contact information
Practice address
4800 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9669
(502) 523-1741
Mailing address
4800 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9669
(502) 523-1741
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
4790
KY
Other
Enumeration date
05/14/2016
Last updated
05/14/2016
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