Organization
OSPTKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY WHEELDON (MEMBER/OWNER)
(502) 426-2221
Entity
Organization
Contact information
Practice address
1868 PLAUDIT PL STE B, LEXINGTON, KY 40509
(859) 264-0512
(859) 264-0595
Mailing address
1868 PLAUDIT PL STE B, LEXINGTON, KY 40509-2429
(859) 264-0512
(859) 264-0595
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100502380
—
KY
Enumeration date
10/26/2017
Last updated
06/08/2018
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