Organization Name: | BLUE GRASS PHYSIOTHERAPY, PLLC |
NPI Number: | 1679669600 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE WILLIAM LOZE (CO-OWNER) |
Mailing Address: | 117 Tradepark Dr Somerset |
State: | KY US |
Postal Code: | 425033428 |
Phone Number: | 6066785708 |
Fax Number: | 6066784336 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |