Provider Demographics
NPI:1124571682
Name:ARNOLD, DANA JOBE (PT)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:JOBE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:250 E LIBERTY STREET
Mailing Address - Street 2:SUITE 500
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1508
Mailing Address - Country:US
Mailing Address - Phone:502-587-4164
Mailing Address - Fax:
Practice Address - Street 1:1905 WEST HEBRON LANE
Practice Address - Street 2:SUITE 106
Practice Address - City:SHEPHERDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40165-8949
Practice Address - Country:US
Practice Address - Phone:502-955-7705
Practice Address - Fax:502-957-1257
Is Sole Proprietor?:No
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY004078225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist