Aegis Group Practice LLC
Physical Therapist in Louisville, KY. Organization (NPI-2).
NPI number1306310396
StatusActive
Last updated in NPPESApr 19, 2022
Details
- NPI
- 1306310396
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Group Practice LLC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2019
- Certification date
- Apr 19, 2022
- Last updated
- Apr 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
6700 Overlook DrLouisville, KY 40241-6583
Phone 800-444-6845 · Fax 479-478-2852
Mailing address
4933 Old Greenwood RdFort Smith, AR 72903-6906
Phone 479-201-6147 · Fax 479-401-2239
Authorized official
Michael Mcolvin
Vp Finance
4792012000
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