Healthcare Provider Details

I. General information

NPI: 1447200886
Provider Name (Legal Business Name): STEPHEN GREGORY LOYD PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2780 FREDERICA ST
OWENSBORO KY
42301-5442
US

IV. Provider business mailing address

2780 FREDERICA ST
OWENSBORO KY
42301-5442
US

V. Phone/Fax

Practice location:
  • Phone: 270-926-4100
  • Fax: 270-648-4678
Mailing address:
  • Phone: 270-926-4100
  • Fax: 270-648-4678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP061555T
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: