Healthcare Provider Details

I. General information

NPI: 1689550576
Provider Name (Legal Business Name): KIARA ANN PRYOR PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 S CREEK DR STE 116
MONTICELLO KY
42633-9472
US

IV. Provider business mailing address

1 S CREEK DR STE 116
MONTICELLO KY
42633-9472
US

V. Phone/Fax

Practice location:
  • Phone: 606-348-3314
  • Fax:
Mailing address:
  • Phone: 606-348-3314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: