Osptky, LLC
Clinic/Center, Physical Therapy in Stanford, KY. Organization (NPI-2).
NPI number1669974549
StatusActive
Last updated in NPPESFeb 7, 2023
Details
- NPI
- 1669974549
- Entity type
- Organization (NPI-2)
- Legal business name
- Osptky, LLC
- Organization subpart
- No
- Enumeration date
- Mar 6, 2018
- Certification date
- Feb 7, 2023
- Last updated
- Feb 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
| 225100000X | Physical Therapist | – | – |
Other names
- Orthopedic & Sports Pt Of Lincoln Co (Doing Business As)
Practice location
132 Frontier Blvd Ste 106Stanford, KY 40484-6516
Phone 606-257-0005 · Fax 606-262-4132
Mailing address
1868 Plaudit Pl Ste BLexington, KY 40509-2429
Phone 859-264-0512 · Fax 859-264-0595
Authorized official
Bradley S Wheeldon
Member/Owner
5024262221
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