Individual
JEFFREY R. CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
330 WALLER AVE STE 275, LEXINGTON, KY 40504-2930
(598) 447-8600
(598) 447-8599
Mailing address
330 WALLER AVE STE 275, LEXINGTON, KY 40504-2930
(598) 447-8600
(598) 447-8599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003750
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101032870
—
KY
Enumeration date
01/19/2007
Last updated
02/14/2025
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