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Dr. Jason Cory Bracco, PT, DPT, OCS, ATC

Physical Therapist, Orthopedic in Louisville, KY. Individual provider (NPI-1).

NPI number1245815281
StatusActive
Last updated in NPPESMar 11, 2021

Details

NPI
1245815281
Entity type
Individual (NPI-1)
Name
Dr. Jason Cory Bracco
Credential
PT, DPT, OCS, ATC
Sex
Male
Sole proprietor
No
Enumeration date
Mar 11, 2021
Certification date
Mar 11, 2021
Last updated
Mar 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251X0800X Physical Therapist, Orthopedic004887KYYes

Practice location

215 Central Ave Ste 200
Louisville, KY 40208-1451

Phone 502-637-9313 · Fax 502-635-6317

Mailing address

914 Brierly Hill Ct
Louisville, KY 40299-4653

Phone 502-387-1100

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