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Performance Physical Therapy, PLLC

Physical Therapist in Nicholasville, KY. Organization (NPI-2).

NPI number1508166604
StatusActive
Last updated in NPPESJan 26, 2011

Details

NPI
1508166604
Entity type
Organization (NPI-2)
Legal business name
Performance Physical Therapy, PLLC
Organization subpart
No
Enumeration date
Oct 25, 2010
Last updated
Jan 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT001503KYYes

Practice location

2061 Lexington Rd
Nicholasville, KY 40356-9704

Phone 859-887-0599 · Fax 859-887-0979

Mailing address

2061 Lexington Rd
Nicholasville, KY 40356-9704

Phone 859-887-0599 · Fax 859-887-0979

Authorized official

Scott Samuel Crook
Physical Therapist
8598870599

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