Healthcare Provider Details

I. General information

NPI: 1639501224
Provider Name (Legal Business Name): KENTUCKY HAND AND PHYSICAL THERAPY BC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2013
Last Update Date: 08/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 HARRODSBURG RD SUITE 200
LEXINGTON KY
40503-2894
US

IV. Provider business mailing address

3050 HARRODSBURG RD SUITE 200
LEXINGTON KY
40503-2894
US

V. Phone/Fax

Practice location:
  • Phone: 859-296-1696
  • Fax: 859-296-1676
Mailing address:
  • Phone: 859-296-1696
  • Fax: 859-296-1676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LUKE A DRAYER
Title or Position: CHAIRMAN & CEO
Credential:
Phone: 717-220-2100