Basic Information
| Provider Information | |||||||||
| NPI: | 1689978348 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALLIANCE PHYSICAL THERAPY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 624 MAYSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | MOUNT STERLING | ||||||||
| State: | KY | ||||||||
| PostalCode: | 403539767 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8594994351 | ||||||||
| FaxNumber: | 8594994321 | ||||||||
| Practice Location | |||||||||
| Address1: | 624 NORTH MASYVILLE RD | ||||||||
| Address2: | |||||||||
| City: | MOUNT STERLING | ||||||||
| State: | KY | ||||||||
| PostalCode: | 40353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8594994351 | ||||||||
| FaxNumber: | 8594994321 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/10/2011 | ||||||||
| LastUpdateDate: | 01/10/2011 | ||||||||
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| AuthorizedOfficialLastName: | LEWIS | ||||||||
| AuthorizedOfficialFirstName: | STEVE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER/PHYSICAL THERPIST | ||||||||
| AuthorizedOfficialTelephone: | 8594994351 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 273Y00000X | Y | Hospital Units | Rehabilitation Unit |
No ID Information.