Healthcare Provider Details

I. General information

NPI: 1831180694
Provider Name (Legal Business Name): SHARON VARIOT PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 04/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 CORPORATE DR SUITE 101
LEXINGTON KY
40503-5400
US

IV. Provider business mailing address

212 WAYNE DR
RICHMOND KY
40475-2337
US

V. Phone/Fax

Practice location:
  • Phone: 859-223-4364
  • Fax: 859-223-0778
Mailing address:
  • Phone: 859-625-0001
  • Fax: 859-625-1109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number001420
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code2251E1300X
TaxonomyClinical Electrophysiology Physical Therapist
License Number001420
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: