Healthcare Provider Details

I. General information

NPI: 1114553526
Provider Name (Legal Business Name): ALLGEIER PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 12/02/2020
Certification Date: 12/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 CECIL NOEL RD
BLOOMFIELD KY
40008-9456
US

IV. Provider business mailing address

1325 CECIL NOEL RD
BLOOMFIELD KY
40008-9456
US

V. Phone/Fax

Practice location:
  • Phone: 502-558-9033
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. HOLLY R ALLGEIER
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 502-558-9033