Healthcare Provider Details

I. General information

NPI: 1457801581
Provider Name (Legal Business Name): KATHERINE BAILEY FERGUSON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2016
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 GRIBBIN DR
LEXINGTON KY
40517-4498
US

IV. Provider business mailing address

1200 CORPORATE DRIVE SUITE 400
BIRMINGHAM AL
35242-4909
US

V. Phone/Fax

Practice location:
  • Phone: 859-268-8190
  • Fax: 859-268-9823
Mailing address:
  • Phone: 423-206-4158
  • Fax: 630-759-9510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT7065
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: