Organization
BROWN PHYSICAL THERAPY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY HAMILTON BROWN PT (EXECUTIVE DIRECTOR PT)
(270) 988-7213
Entity
Organization
Contact information
Practice address
121 HOSPITAL DR, SALEM, KY 42078-8043
(270) 988-7213
(270) 988-2199
Mailing address
139 HIGHLAND DR, MADISONVILLE, KY 42431-9154
(270) 825-2158
(270) 825-1277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000360
KY
225100000X
Physical Therapist
000361
KY
225100000X
Physical Therapist
000477
KY
225100000X
Physical Therapist
002095
KY
225100000X
Physical Therapist
002363
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20042202
PROVIDER NUMBER
KY
05
—
8790027000
—
KY
Enumeration date
05/17/2006
Last updated
08/22/2020
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