Organization Name: | LUMINA OF ELIZABETHTOWN |
NPI Number: | 1245343110 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANA DEYOUNG (DIRECTOR OF BILLING) |
Mailing Address: | 106 Diecks Dr Elizabethtown |
State: | KY US |
Postal Code: | 427012443 |
Phone Number: | 5022450767 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 002058 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |