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NPI Code Detail

MEDICARE: MARK ROBINSON PT, DPT, MSPT

MEDICARE: MARK ROBINSON PT, DPT, MSPT
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 Therapist004625KY

General Provider Information

NPI Number : 1902812043
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ROBINSON PT, DPT, MSPT
Provider Business Mailing Address
First Line : PO BOX 950248
Second Line :
City : LOUISVILLE
State : KY
Zip : 40295-0248
Country : US
Telephone Number : 502-489-5730
Fax Number : 502-489-5753
Provider Business Practice Location Address
First Line : 10216 TAYLORSVILLE RD
Second Line : 900A
City : LOUISVILLE
State : KY
Zip : 40299-3616
Country : US
Telephone Number : 812-284-0852
Fax Number : 812-284-3727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 12/04/2020

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Directions to “ MARK ROBINSON PT, DPT, MSPT” Practice Location

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