Healthcare Provider Details

I. General information

NPI: 1639059017
Provider Name (Legal Business Name): HYPHEN HQ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 BOONESBORO AVE
LEXINGTON KY
40508-1953
US

IV. Provider business mailing address

543 BOONESBORO AVE
LEXINGTON KY
40508-1953
US

V. Phone/Fax

Practice location:
  • Phone: 502-427-6004
  • Fax:
Mailing address:
  • Phone: 502-427-6004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: RICKARD DUSTIN JONES
Title or Position: PT/CEO
Credential: PT, DPT
Phone: 502-427-6004