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NPI Code Detail

MEDICARE: DRAYER PHYSICAL THERAPY INSTITUTE LLC

MEDICARE: DRAYER PHYSICAL THERAPY INSTITUTE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16611590003OTHERKYNSC PTAN

General Provider Information

NPI Number : 1073897971
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRAYER PHYSICAL THERAPY INSTITUTE LLC
Provider Business Mailing Address
First Line : 837 EASTERN BYP
Second Line : SUITE A
City : RICHMOND
State : KY
Zip : 40475-2569
Country : US
Telephone Number : 859-625-5564
Fax Number : 859-625-1323
Provider Business Practice Location Address
First Line : 837 EASTERN BYP
Second Line : SUITE A
City : RICHMOND
State : KY
Zip : 40475-2569
Country : US
Telephone Number : 859-625-5564
Fax Number : 859-625-1323
Authorized Official
Title or Position : CEO
Name : LUKE A DRAYER
Credential :
Telephone Number : 717-220-2100
Provider Enumeration Date : 10/11/2011
Last Update Date : 02/20/2014

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Directions to “DRAYER PHYSICAL THERAPY INSTITUTE LLC ” Practice Location

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