Organization
PHYSICAL THERAPY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY GORDON COFFMAN (EXECUTIVE DIRECTOR)
(270) 360-9129
Entity
Organization
Contact information
Practice address
115 S SALEM DR, BARDSTOWN, KY 40004-1762
(502) 350-0880
(502) 350-3640
Mailing address
403 N MILES ST, ELIZABETHTOWN, KY 42701-1834
(270) 360-9129
(270) 234-8197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002884
KY
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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