Provider Demographics
NPI:1609410745
Name:WEBB, NORMAN EUGENE II (PT DPT)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:EUGENE
Last Name:WEBB
Suffix:II
Gender:M
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9300 CIVIC WAY
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-6619
Mailing Address - Country:US
Mailing Address - Phone:775-367-6937
Mailing Address - Fax:
Practice Address - Street 1:1690 HIGHWAY 192 W
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-1673
Practice Address - Country:US
Practice Address - Phone:606-877-3231
Practice Address - Fax:606-877-3632
Is Sole Proprietor?:No
Enumeration Date:2019-11-01
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY007868225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist