| |
10620 S Highway 259, Mc Daniels, KY 40152-7236 | |
(270) 257-8094 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Early Intervention Provider Agency |
Location | 10620 S Highway 259, Mc Daniels, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285049668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 004892 (Kentucky) | Secondary |
252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
10620 S Highway 259, Mc Daniels, KY 40152-7236 Ph: (270) 257-8094 | 10620 S Highway 259, Mc Daniels, KY 40152-7236 Ph: (270) 257-8094 |