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NPI Code Detail

MEDICARE: MATT FOLAWN LOYD PT

MEDICARE:   MATT FOLAWN LOYD  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist4610KY

General Provider Information

NPI Number : 1619160652
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATT FOLAWN LOYD PT
Provider Business Mailing Address
First Line : 1798 WAVERLY DR
Second Line :
City : FLORENCE
State : KY
Zip : 41042-8695
Country : US
Telephone Number : 859-342-8775
Fax Number : 859-342-8701
Provider Business Practice Location Address
First Line : 3876 TURKEYFOOT RD
Second Line :
City : ELSMERE
State : KY
Zip : 41018-2838
Country : US
Telephone Number : 859-342-8775
Fax Number : 859-342-8701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2007
Last Update Date : 08/23/2007

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Directions to “ MATT FOLAWN LOYD PT” Practice Location

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