Provider Demographics
NPI:1700194552
Name:DRAYER PHYSICAL THERAPY INSTITUTE OF KY, PLLC
Entity Type:Organization
Organization Name:DRAYER PHYSICAL THERAPY INSTITUTE OF KY, PLLC
Other - Org Name:DRAYER PHYSICAL THERAPY INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DRAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-220-2100
Mailing Address - Street 1:8205 PRESIDENTS DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8621
Mailing Address - Country:US
Mailing Address - Phone:717-220-2100
Mailing Address - Fax:717-220-2131
Practice Address - Street 1:210 OAK ST N
Practice Address - Street 2:
Practice Address - City:SWEETWATER
Practice Address - State:TN
Practice Address - Zip Code:37874-2833
Practice Address - Country:US
Practice Address - Phone:865-368-7641
Practice Address - Fax:865-223-7565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty