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NPI Code Detail

MEDICARE: RICK FARLEY LPT

MEDICARE:   RICK  FARLEY  LPT
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
12251X0800XOrthopedic Physical Therapist003098KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1K065880OTHERKYMEDICARE- NORTON LEATHERMAN SPINE
5P00315857OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2000000771694OTHERKYANTHEM- NORTON LEATHERMAN SPINE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4000000327265OTHERKYANTHEM BLUE SHIELD

General Provider Information

NPI Number : 1952463366
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICK FARLEY LPT
Provider Business Mailing Address
First Line : PO BOX 776351
Second Line :
City : CHICAGO
State : IL
Zip : 60677-6351
Country : US
Telephone Number : 502-588-9490
Fax Number :
Provider Business Practice Location Address
First Line : 9300 STONESTREET RD
Second Line : SUITE 400
City : LOUISVILLE
State : KY
Zip : 40272-2863
Country : US
Telephone Number : 502-935-9776
Fax Number : 502-935-9813
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 07/22/2016

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Directions to “ RICK FARLEY LPT” Practice Location

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