Organization
DRAYER PHYSICAL THERAPY KENTUCKY LLC
Active
Organization
DRAYER PHYSICAL THERAPY KENTUCKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BENETTO (MANAGER)
(423) 238-8923
Entity
Organization
Contact information
Practice address
651 PERIMETER DR STE 110, LEXINGTON, KY 40517-4348
(859) 268-1201
(859) 268-1202
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(717) 839-2125
(717) 565-1104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7012950001
NSC PTAN
KY
Enumeration date
07/26/2013
Last updated
03/03/2020
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