Basic Information
| Provider Information | |||||||||
| NPI: | 1518006030 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KING-NOFTSGER | ||||||||
| FirstName: | HOPE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 77 WOODSPRING DR | ||||||||
| Address2: | |||||||||
| City: | SOMERSET | ||||||||
| State: | KY | ||||||||
| PostalCode: | 425037245 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6064510248 | ||||||||
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| Practice Location | |||||||||
| Address1: | 353 BOGLE STREET | ||||||||
| Address2: | TOTAL REHAB CENTER, PSC | ||||||||
| City: | SOMERSET | ||||||||
| State: | KY | ||||||||
| PostalCode: | 42503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6066791761 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT-002634 | KY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.