MEDICARE: CARLENE TINKLER 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
1	225100000X	Physical Therapist	004819	KY

General Provider Information

NPI Number	:	1982659835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLENE TINKLER PT

Provider Business Mailing Address
First Line	:	126 PROFESSIONAL AVE
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-1116
Country	:	US
Telephone Number	:	859-737-3994
Fax Number	:	859-737-3223

Provider Business Practice Location Address
First Line	:	126 PROFESSIONAL AVE
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-1116
Country	:	US
Telephone Number	:	859-737-3994
Fax Number	:	859-737-3223

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	07/08/2007

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Directions to “ CARLENE TINKLER PT” Practice Location

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