Organization Name: | PREMIER THERAPY & HEALTH CENTERS |
NPI Number: | 1790862233 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID WARREN APTS (PRESIDENT) |
Mailing Address: | 1490 Diederich Blvd Russell |
State: | KY US |
Postal Code: | 41169 |
Phone Number: | 6068339444 |
Fax Number: | 6068339442 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 04/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |