| Doctor Name: | MR. HILBERT TRACY POTTER |
| NPI Number: | 1073684734 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | KY #004263 |
| Business Practice Address: | 1227 Goss Ave Louisville, KY - 402171239 |
| Business Phone Number: | 5026361200 |
| Business Fax Number: | 5026360351 |
| Mailing Address: | 16400 Snaffel Bit Ct, LOUISVILLE |
| State: | KY |
| Postal Code: | 402458447 |
| Phone Number: | 5022457495 |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 07/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | KY #004263 |
| 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 |