| |
1 Macklem Dr, Wilmore, KY 40390-1152 | |
(859) 858-3511 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 1 Macklem Dr, Wilmore, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013360544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 004930 (Kentucky) | Primary |
Mailing Address | Practice Location Address |
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1 Macklem Dr, Wilmore, KY 40390-1152 Ph: () - | 1 Macklem Dr, Wilmore, KY 40390-1152 Ph: (859) 858-3511 |
Joel Ellis Clark, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Rabbit Trl, Wilmore, KY 40390 Phone: 859-321-2741 |