Provider Demographics
NPI:1508203282
Name:POUNDS, RICK ALAN (MS, RCEP)
Entity Type:Individual
Prefix:MR
First Name:RICK
Middle Name:ALAN
Last Name:POUNDS
Suffix:
Gender:M
Credentials:MS, RCEP
Other - Prefix:MR
Other - First Name:RICKY
Other - Middle Name:
Other - Last Name:POUNDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, RCEP
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:40503-3662
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:40503-3662
Practice Address - Country:US
Practice Address - Phone:859-266-0404
Practice Address - Fax:859-266-0621
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist