Provider Demographics
NPI:1033651955
Name:THERABILITIES LLC
Entity Type:Organization
Organization Name:THERABILITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:W
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, PHD
Authorized Official - Phone:502-418-2318
Mailing Address - Street 1:13408 SHADY CREEK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-4578
Mailing Address - Country:US
Mailing Address - Phone:502-418-2318
Mailing Address - Fax:502-242-1958
Practice Address - Street 1:7926 PRESTON HWY
Practice Address - Street 2:SUITE 103
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40219-3848
Practice Address - Country:US
Practice Address - Phone:502-272-4700
Practice Address - Fax:502-242-1958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-09
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY003879261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy