Organization
PHYSICAL THERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY ROBERT WALLACE (OWNER)
(270) 234-1569
Entity
Organization
Contact information
Practice address
141 EASTBROOKE POINTE DR E, MT WASHINGTON, KY 40047-7383
(502) 251-5145
(502) 251-5130
Mailing address
614 WESTPORT RD STE A, ELIZABETHTOWN, KY 42701-3832
(270) 234-1569
(270) 234-8197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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