Organization
KENTUCKY ORTHOPEDIC REHABILITATION, LLC
Active
Other names
KORT Taylorsville
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
543 TAYLORSVILLE RD STE 101, TAYLORSVILLE, KY 40071-6766
(502) 477-6410
(502) 477-9546
Mailing address
4714 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/15/2006
Last updated
04/22/2021
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