Healthcare Provider Details
I. General information
NPI: 1689013419
Provider Name (Legal Business Name): PT SOLUTIONS HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/14/2013
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2344 ELKHORN RD STE 150
LEXINGTON KY
40509-2786
US
IV. Provider business mailing address
PO BOX 96222
PHOENIX AZ
85072-6222
US
V. Phone/Fax
- Phone: 859-788-2369
- Fax:
- Phone: 770-917-1395
- Fax: 770-423-3369
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DALE
YAKE
Title or Position: C.E.O
Credential: P.T, D.P.T
Phone: 770-917-1395