Doctor Name: | ADRIAN COURTNEY BANTON |
NPI Number: | 1811106305 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 004514 |
Business Practice Address: | 4813 Alben Barkley Dr Paducah, KY - 420016774 |
Business Phone Number: | 2705347278 |
Business Fax Number: | |
Mailing Address: | 245 Ridgewood Ave, PADUCAH |
State: | KY |
Postal Code: | 420014451 |
Phone Number: | 2704150399 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 004514 |
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 |