Individual
ERIC JOSEPH COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
420 E GRUNDY AVE, SPRINGFIELD, KY 40069-1173
(859) 336-7771
Mailing address
667 CROAKE STATION RD, SPRINGFIELD, KY 40069-7337
(859) 619-3332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5004
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12500872
—
KY
Enumeration date
06/28/2007
Last updated
07/08/2007
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