Basic Information
| Provider Information | |||||||||
| NPI: | 1679120315 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HANKS | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | CLARK | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1004 LEAWOOD DR | ||||||||
| Address2: | |||||||||
| City: | FRANKFORT | ||||||||
| State: | KY | ||||||||
| PostalCode: | 406013349 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5022237403 | ||||||||
| FaxNumber: | 5022235016 | ||||||||
| Practice Location | |||||||||
| Address1: | 1100 GLENSBORO RD | ||||||||
| Address2: | |||||||||
| City: | LAWRENCEBURG | ||||||||
| State: | KY | ||||||||
| PostalCode: | 403429083 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5028399755 | ||||||||
| FaxNumber: | 5028399763 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2019 | ||||||||
| LastUpdateDate: | 08/19/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | 006736 | KY | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
No ID Information.