Provider Demographics
NPI:1619174109
Name:MCELROY, DEANN P (PT)
Entity Type:Individual
Prefix:MRS
First Name:DEANN
Middle Name:P
Last Name:MCELROY
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 1:142 AMBERFIELD CT
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-8590
Mailing Address - Country:US
Mailing Address - Phone:270-783-0319
Mailing Address - Fax:
Practice Address - Street 1:142 AMBERFIELD CT
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-8590
Practice Address - Country:US
Practice Address - Phone:270-783-0319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPT001928225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist