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General NPI Number Information
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NPI Number | 1033970736
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Entity Type | Organization
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Legal Business Name | KENTUCKY PHYSICAL THERAPY SERVICES AT RICHMOND PLACE LLC
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Dates
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Enumeration Date | 01/19/2024
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 3051 RIO DOSA DR
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City | LEXINGTON
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State | KY
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Zip | 40509-1545
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Country | US
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Telephone | 859-381-7376
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Fax | 859-309-8429
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Provider Business Mailing Address
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Address Line | PO BOX 51266
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City | LAFAYETTE
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State | LA
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Zip | 70505-1266
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSHUA L. PROFFITT
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Credential |
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Telephone | 337-233-1307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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