Provider Demographics
NPI:1174835193
Name:ABELL, LAURA BANDY (PT, DPT, OCS)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:BANDY
Last Name:ABELL
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 E MAIN ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:KY
Mailing Address - Zip Code:40033-8696
Mailing Address - Country:US
Mailing Address - Phone:270-699-9503
Mailing Address - Fax:270-699-3804
Practice Address - Street 1:703 E MAIN ST UNIT 1
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-8696
Practice Address - Country:US
Practice Address - Phone:270-699-9503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0056322251X0800X
KYPT-005632225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic