MEDICARE: MARCIA A BOYCE 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	PT002508	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982659793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCIA A BOYCE PT

Provider Business Mailing Address
First Line	:	3810 ZARING MILL CIR
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40241-3052
Country	:	US
Telephone Number	:	502-767-5228
Fax Number	:	502-454-5562

Provider Business Practice Location Address
First Line	:	3052 BARDSTOWN RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3020
Country	:	US
Telephone Number	:	502-454-5544
Fax Number	:	502-454-5562

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	10/09/2014

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