| Organization Name: | BELLEFONTAINE PHYSICAL THERAPY LTD |
| NPI Number: | 1184682932 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RODNEY A KEVUS (OWNER) |
| Mailing Address: | 711 Rush Ave Bellefontaine |
| State: | OH US |
| Postal Code: | 43311 |
| Phone Number: | 9375921625 |
| Fax Number: | 9375923489 |
| NPI Enumeration Date: | 05/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |