Provider Demographics
NPI:1376102178
Name:PERKINS, CORINNE (PT)
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 BAPTIST HEALTH BOULEVARD
Mailing Address - Street 2:STE 250
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509
Mailing Address - Country:US
Mailing Address - Phone:859-260-4540
Mailing Address - Fax:859-260-4545
Practice Address - Street 1:3000 BAPTIST HEALTH BOULEVARD
Practice Address - Street 2:STE 250
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509
Practice Address - Country:US
Practice Address - Phone:859-260-4540
Practice Address - Fax:859-260-4545
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY006540225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist