Organization
SOUTHEASTERN KENTUCKY PHYSICAL THERAPY CLINIC INC
Active
Other names
Corbin Physical Therapy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER KIM CHEARY PT (OWNER)
(606) 528-0870
Entity
Organization
Contact information
Practice address
1480 18TH ST, CORBIN, KY 40701-2721
(606) 528-0870
(606) 528-3449
Mailing address
1480 18TH ST, CORBIN, KY 40701-2721
(606) 528-0870
(606) 528-3449
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D0000059454
ANTHEM
—
Enumeration date
12/30/2005
Last updated
12/04/2013
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