Healthcare Provider Details

I. General information

NPI: 1851466015
Provider Name (Legal Business Name): HEALING HANDS PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11901 SHELBYVILLE RD STE 125
LOUISVILLE KY
40243
US

IV. Provider business mailing address

11901 SHELBYVILLE RD STE 125
LOUISVILLE KY
40243
US

V. Phone/Fax

Practice location:
  • Phone: 502-499-5559
  • Fax: 502-499-5399
Mailing address:
  • Phone: 502-499-5559
  • Fax: 502-499-5399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number003879
License Number StateKY

VIII. Authorized Official

Name: MR. RONALD W COLE
Title or Position: PRESIDENT
Credential: PT
Phone: 502-499-5559