Provider Demographics
NPI:1003157538
Name:SATTERLEY, CRAIG L (PT)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:L
Last Name:SATTERLEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6003 PLEASANT COLONY CT STE 3
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-8679
Mailing Address - Country:US
Mailing Address - Phone:502-241-5597
Mailing Address - Fax:502-241-6499
Practice Address - Street 1:6003 PLEASANT COLONY CT STE 3
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014
Practice Address - Country:US
Practice Address - Phone:502-241-5597
Practice Address - Fax:502-241-6499
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05011066A225100000X
KY006189225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist