Individual
LOGAN HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3101 BEAUMONT CENTRE CIR, LEXINGTON, KY 40513-1961
(859) 639-1200
Mailing address
3101 BEAUMONT CENTRE CIR, LEXINGTON, KY 40513-1961
(859) 639-1200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
TP2023135
KY
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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