Doctor Name: | DR. MARTIN P KREFT |
NPI Number: | 1053384271 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 003215 |
Business Practice Address: | 189 Highway 192 W London, KY - 407412428 |
Business Phone Number: | 6068778776 |
Business Fax Number: | 6068775454 |
Mailing Address: | Po Box 22430, LEXINGTON |
State: | KY |
Postal Code: | 405222430 |
Phone Number: | 8592526500 |
Fax Number: | 8592523073 |
NPI Enumeration Date: | 02/08/2006 |
NPI Last Update Date: | 03/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251N0400X |
License Number: | 003215 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Neurology |
Taxonomy Definition: |