Provider Demographics
NPI:1184658080
Name:MAGUET, DONALD G (PT)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:G
Last Name:MAGUET
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:GLENN
Other - Middle Name:
Other - Last Name:MAGUET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:PO BOX 911148
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40591-1148
Mailing Address - Country:US
Mailing Address - Phone:859-278-2121
Mailing Address - Fax:859-276-2795
Practice Address - Street 1:1406 W 5TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-1688
Practice Address - Country:US
Practice Address - Phone:606-877-1242
Practice Address - Fax:606-877-2512
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY000325225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY87003257Medicaid