Healthcare Provider Details

I. General information

NPI: 1972768406
Provider Name (Legal Business Name): DRAYER PHYSICAL THERAPY INSTITUTE OF KENTUCKY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2008
Last Update Date: 03/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 WALLER AVENUE SUITE 275
LEXINGTON KY
40504-2902
US

IV. Provider business mailing address

330 WALLER AVENUE SUITE 275
LEXINGTON KY
40504-2902
US

V. Phone/Fax

Practice location:
  • Phone: 859-519-3270
  • Fax: 859-519-3271
Mailing address:
  • Phone: 859-519-3270
  • Fax: 859-519-3271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

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