Healthcare Provider Details

I. General information

NPI: 1508009853
Provider Name (Legal Business Name): JILL A. GUENTHER PT, OCS, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2009
Last Update Date: 04/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 MARSAILLES DR
VERSAILLES KY
40383-1911
US

IV. Provider business mailing address

6375 DELANEY FERRY EXT
VERSAILLES KY
40383-8599
US

V. Phone/Fax

Practice location:
  • Phone: 859-879-3560
  • Fax: 859-879-3564
Mailing address:
  • Phone: 859-879-9301
  • Fax: 859-323-4326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number002103
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: