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NPI Code Detail

MEDICARE: MARGARET DAMRON DPT

MEDICARE: MARGARET DAMRON DPT
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 Therapist005311KY

General Provider Information

NPI Number : 1649566761
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET DAMRON DPT
Provider Business Mailing Address
First Line : 1900 RICHMOND ROAD
Second Line :
City : LEXINGTON
State : KY
Zip : 40502-1204
Country : US
Telephone Number : 859-268-5707
Fax Number : 859-268-5636
Provider Business Practice Location Address
First Line : 1900 RICHMOND ROAD
Second Line :
City : LEXINGTON
State : KY
Zip : 40502-1204
Country : US
Telephone Number : 859-268-5707
Fax Number : 859-268-5636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2011
Last Update Date : 02/25/2016

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