Healthcare Provider Details

I. General information

NPI: 1437106408
Provider Name (Legal Business Name): JOSEPH B MEFFORD PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 02/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051-H NEWTOWN PIKE
LEXINGTON KY
40511
US

IV. Provider business mailing address

PO BOX 950243
LOUISVILLE KY
40295-0243
US

V. Phone/Fax

Practice location:
  • Phone: 859-253-0076
  • Fax: 859-253-0890
Mailing address:
  • Phone: 502-238-2801
  • Fax: 502-238-2835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberKY004561
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: