Healthcare Provider Details

I. General information

NPI: 1598147746
Provider Name (Legal Business Name): SARA HOCHGESANG HULKER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 10/13/2020
Certification Date: 10/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 LETTON DR
PARIS KY
40361-2251
US

IV. Provider business mailing address

229 LETTON DR
PARIS KY
40361-2251
US

V. Phone/Fax

Practice location:
  • Phone: 859-340-1061
  • Fax:
Mailing address:
  • Phone: 859-340-1061
  • Fax: 859-340-4175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number006622
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: