Organization Name: | BLUEGRASS PHYSICAL THERAPY & REHABILITATION INC. |
NPI Number: | 1952587719 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DALE BROCKMAN (PHYSICAL THERAPIST) |
Mailing Address: | 13 Oblique St Florence |
State: | KY US |
Postal Code: | 410421927 |
Phone Number: | 8593711929 |
Fax Number: | 8593712581 |
NPI Enumeration Date: | 01/11/2008 |
NPI Last Update Date: | 07/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 001500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |