MEDICARE: AMY LYKINS THOROUGHMAN 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
1	225100000X	Physical Therapist	5141	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4220815	OTHER	TN	BCBS OF TENNESSEE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700038296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY LYKINS THOROUGHMAN PT

Provider Business Mailing Address
First Line	:	5006 ATWOOD DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-8179
Country	:	US
Telephone Number	:	859-623-2057
Fax Number	:	859-623-2058

Provider Business Practice Location Address
First Line	:	5006 ATWOOD DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-8179
Country	:	US
Telephone Number	:	859-623-2057
Fax Number	:	859-623-2058

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2008
Last Update Date	:	12/12/2024

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