Provider Demographics
NPI:1821133828
Name:HSU, REBECCA (PT)
Entity Type:Individual
Prefix:MISS
First Name:REBECCA
Middle Name:
Last Name:HSU
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3050 HARRODSBURG RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2747
Mailing Address - Country:US
Mailing Address - Phone:859-296-1696
Mailing Address - Fax:859-266-0621
Practice Address - Street 1:3050 HARRODSBURG RD
Practice Address - Street 2:SUITE204
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2747
Practice Address - Country:US
Practice Address - Phone:859-296-1696
Practice Address - Fax:859-266-0621
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KYKY004841225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0718422Medicare PIN