Organization Name: | LIFESPAN THERAPY SERVICES PSC |
NPI Number: | 1770708968 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROL A RUSHING-CARR (PRESIDENT) |
Mailing Address: | 318 W High St Mount Sterling |
State: | KY US |
Postal Code: | 403531328 |
Phone Number: | 8594988647 |
Fax Number: | 8594988677 |
NPI Enumeration Date: | 04/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251E1300X |
License Number: | PT001459 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | KY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Electrophysiology, Clinical |
Taxonomy Definition: |