Basic Information
| Provider Information | |||||||||
| NPI: | 1740644228 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DRAYER PHYSICAL THERAPY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 424 MILLRACE DR | ||||||||
| Address2: | |||||||||
| City: | COLD SPRING | ||||||||
| State: | KY | ||||||||
| PostalCode: | 410762190 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 463 OHIO PIKE STE 203 | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452553745 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5132474340 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2016 | ||||||||
| LastUpdateDate: | 04/11/2016 | ||||||||
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| AuthorizedOfficialLastName: | ENZWEILER | ||||||||
| AuthorizedOfficialFirstName: | RYAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | ATC | ||||||||
| AuthorizedOfficialTelephone: | 8594865880 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0400X | AT 004889 | Y | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation |
No ID Information.