Provider Demographics
NPI:1275677833
Name:POUNDS, NANCY C (MS PT)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:C
Last Name:POUNDS
Suffix:
Gender:F
Credentials:MS PT
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Mailing Address - Street 1:261 RUCCIO WAY
Mailing Address - Street 2:SUITE 190
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3566
Mailing Address - Country:US
Mailing Address - Phone:859-266-0404
Mailing Address - Fax:859-266-0621
Practice Address - Street 1:261 RUCCIO WAY
Practice Address - Street 2:SUITE 190
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3566
Practice Address - Country:US
Practice Address - Phone:859-266-0404
Practice Address - Fax:859-266-0621
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYKY000742225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0625001Medicare ID - Type Unspecified