| |
132 Frontier Blvd Ste 106, Stanford, KY 40484-6516 | |
(606) 257-0005 | |
(606) 262-4132 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 132 Frontier Blvd Ste 106, Stanford, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669974549 | NPI | - | NPPES |
7100523400 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1868 Plaudit Pl Ste B, Lexington, KY 40509-2429 Ph: (859) 264-0512 | 132 Frontier Blvd Ste 106, Stanford, KY 40484-6516 Ph: (606) 257-0005 |