Doctor Name: | THOMAS L KOMOR |
NPI Number: | 1003272774 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 006783 |
Business Practice Address: | 160 Pedro Way Winchester, KY - 403918354 |
Business Phone Number: | 8597452152 |
Business Fax Number: | 8597452153 |
Mailing Address: | 151 N Eagle Creek Dr, Suite 400 LEXINGTON |
State: | KY |
Postal Code: | 405091889 |
Phone Number: | 8592648868 |
Fax Number: | 8592648878 |
NPI Enumeration Date: | 01/11/2016 |
NPI Last Update Date: | 02/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 006783 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |