MEDICARE: PT PRACTICES

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
1	261QP2000X	Physical Therapy Clinic/Center	004091	KY

General Provider Information

NPI Number	:	1447542824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PT PRACTICES

Provider Business Mailing Address
First Line	:	PO BOX 175
Second Line	:
City	:	RINEYVILLE
State	:	KY
Zip	:	40162-0175
Country	:	US
Telephone Number	:	270-765-5633
Fax Number	:	270-763-0054

Provider Business Practice Location Address
First Line	:	6184 RINEYVILLE ROAD
Second Line	:
City	:	RINEYVILLE
State	:	KY
Zip	:	40162
Country	:	US
Telephone Number	:	270-765-5633
Fax Number	:	270-763-0054

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	MRS. MICHELLE LEIGH HIGDON
Credential	:
Telephone Number	:	270-765-5633

Provider Enumeration Date	:	05/04/2011
Last Update Date	:	06/02/2011

Similar Medicare Providers

1033247259 — MRS. MICHELLE LEIGH HIGDON PT, DPT
Practice Location Address:

6184 RINEYVILLE RD
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Practice Phone: 270-765-5633
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1497977862 — MRS. LORI ROBY JARBOE PT
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1306076658 — MRS. AMY LYNETTE CARR
Practice Location Address:

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Practice Fax:

1982954343 — AMY N MARTIN LCSW
Practice Location Address:

246 CECIL DR
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Practice Fax:

1528457652 — CIARA TAYLOR LMT
Practice Location Address:

215 MEREDITH RD
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1790176097 — DR. AMANDA JOSEPHINE LEE DEGNER ED.D.
Practice Location Address:

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Practice Fax:

Directions to “PT PRACTICES ” Practice Location

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