Organization
EDGE PHYSICAL THERAPY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON MYERS P.T. (OWNER)
(270) 824-9295
Entity
Organization
Contact information
Practice address
100 YMCA DR, SUITE 5, MADISONVILLE, KY 42431-9000
(270) 824-9227
(270) 824-9206
Mailing address
100 YMCA DR, SUITE 5, MADISONVILLE, KY 42431-9000
(270) 824-9227
(270) 824-9206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
01/04/2014
Last updated
01/04/2014
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