Organization
PENNYRILE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KETKI PRAKASH SHAH P.T. (OWNER & MANAGER)
(270) 889-9996
Entity
Organization
Contact information
Practice address
101 FORBES DR, HOPKINSVILLE, KY 42240-7200
(270) 889-9996
(270) 889-9993
Mailing address
101 FORBES DR, HOPKINSVILLE, KY 42240-7200
(270) 889-9996
(270) 889-9993
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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