Individual
DR. BRYAN ALEXANDER CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1711 CEDAR GROVE RD STE 30, SHEPHERDSVILLE, KY 40165-8592
(502) 543-5475
(502) 543-5476
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6876
KY
2251P0200X
Pediatric Physical Therapist
006876
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006876
PT LICENSE NUMBER
KY
Enumeration date
08/18/2020
Last updated
10/22/2020
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