Healthcare Provider Details

I. General information

NPI: 1912076183
Provider Name (Legal Business Name): RMS OUTPATIENT THERAPY HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HIGH POINT CT
MT WASHINGTON KY
40047-6560
US

IV. Provider business mailing address

9510 ORMSBY STATION RD SUITE 100B
LOUISVILLE KY
40223-4081
US

V. Phone/Fax

Practice location:
  • Phone: 502-753-5060
  • Fax: 502-253-4144
Mailing address:
  • Phone: 502-253-4140
  • Fax: 502-253-4144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateKY

VIII. Authorized Official

Name: DONNA CANTWELL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 502-253-4140