Individual
NICHOLAS A MASTOROUDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 DR ARLA WAY STE 102, LOUISVILLE, KY 40229-5427
(502) 955-1081
(502) 955-1091
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
(210) 978-5592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009214
KY
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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