Individual
PAUL DAVID BALLEGEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
148 STUART NELSON PARK RD, PADUCAH, KY 42001-9678
(270) 442-9502
(270) 442-1927
Mailing address
148 STUART NELSON PARK RD, PADUCAH, KY 42001-9678
(270) 442-9502
(270) 442-1927
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005841
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005841
—
KY
Enumeration date
04/23/2018
Last updated
04/23/2018
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