Individual
DR. THOMAS M STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1622 CADDIE CIR, FLORENCE, KY 41042-7033
(859) 547-8925
Mailing address
1622 CADDIE CIR, FLORENCE, KY 41042-7033
(859) 547-8925
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
004440
KY
Other
Enumeration date
03/30/2014
Last updated
03/30/2014
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