Healthcare Provider Details

I. General information

NPI: 1194848119
Provider Name (Legal Business Name): HAMPTON PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

178 US HWY 51 N
BARDWELL KY
42023
US

IV. Provider business mailing address

5150 VILLAGE SQUARE DR
PADUCAH KY
42001-9060
US

V. Phone/Fax

Practice location:
  • Phone: 270-628-9530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: SABRINA SAMS
Title or Position: OFFICE MANAGER
Credential:
Phone: 270-443-0681