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NPI Code Detail

MEDICARE: BLAIR HARRIS BONES PT

MEDICARE: BLAIR HARRIS BONES PT
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 TherapistP9199NC
2225100000XPhysical Therapist1137339TX
3225100000XPhysical Therapist2305202261VA
4225100000XPhysical Therapist13137SC

General Provider Information

NPI Number : 1184691396
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLAIR HARRIS BONES PT
Provider Business Mailing Address
First Line : 1650 LYNDON FARM CT STE 300
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-5005
Country : US
Telephone Number : 502-882-9379
Fax Number : 502-587-5728
Provider Business Practice Location Address
First Line : 7580 CHARLOTTE HWY STE 1100
Second Line :
City : INDIAN LAND
State : SC
Zip : 29707-7803
Country : US
Telephone Number : 803-548-5662
Fax Number : 803-548-5635
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 01/30/2026

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Directions to “ BLAIR HARRIS BONES PT” Practice Location

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