Healthcare Provider Details

I. General information

NPI: 1275541807
Provider Name (Legal Business Name): KING & POINTS PHYSICAL THERAPY AND REHABILITATION SERVICES, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 03/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 SOUTH MAIN STREET
STANTON KY
40380
US

IV. Provider business mailing address

PO BOX 455
STANTON KY
40380
US

V. Phone/Fax

Practice location:
  • Phone: 606-663-8244
  • Fax: 606-663-8284
Mailing address:
  • Phone: 606-663-8244
  • Fax: 606-663-8284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: GEORGIA CARTER KING
Title or Position: OWNER PT
Credential: PT
Phone: 606-663-8244