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Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Cardiopulmonary

Provider NPI: 1770611345

Provider Information:
Gender: M
Sole Proprietor

Practice Location:
44 REAMS LN  ASHLAND, KY 41102-7984 US
Tel: 606-836-5276  Fax: 606-833-9109

Business Mailing Address:
44 REAMS LN  ASHLAND, KY 41102-7984 US
Tel: 606-836-5276  Fax: 606-833-9109

NPI Information:
NPI: 1770611345
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y2251C2600XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2251C2600X





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