Healthcare Provider Details

I. General information

NPI: 1366484701
Provider Name (Legal Business Name): PHYSICAL THERAPY SOLUTIONS, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 11/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 SOUTH MAIN STREET
LEITCHFIELD KY
42754
US

IV. Provider business mailing address

P.O. BOX 26
LEITCHFIELD KY
42755
US

V. Phone/Fax

Practice location:
  • Phone: 270-230-1729
  • Fax: 270-230-1750
Mailing address:
  • Phone: 270-230-1729
  • Fax: 270-230-1750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberR4652
License Number StateKY

VIII. Authorized Official

Name: MR. JOSEPH MICHAEL HARRIS JR.
Title or Position: PRESIDENT
Credential: PT
Phone: 270-230-1729