Healthcare Provider Details

I. General information

NPI: 1033261235
Provider Name (Legal Business Name): HAMPTON PHYSICAL THERAPY,PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 01/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 B VILLAGE SQUARE DR.
PADUCAH KY
42001
US

IV. Provider business mailing address

5050 B VILLAGE SQUARE DR.
PADUCAH KY
42001
US

V. Phone/Fax

Practice location:
  • Phone: 270-443-0681
  • Fax: 270-442-7948
Mailing address:
  • Phone: 270-443-0681
  • Fax: 270-442-7948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHERI HAMPTON
Title or Position: OWNER, CEI
Credential: PT, MHS
Phone: 270-443-0681