Individual
MR. MARK K CASTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
49 KY 15 N, CAMPTON, KY 41301-8834
(606) 668-9481
(606) 668-7730
Mailing address
PO BOX 191, LOWMANSVILLE, KY 41232-0191
(606) 668-9481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004711
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3844
MEDICARE GROUP
KY
Enumeration date
04/11/2006
Last updated
05/06/2020
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