Provider Demographics
NPI:1821430257
Name:DRAYER PHYSICAL THERAPY KENTUCKY LLC
Entity Type:Organization
Organization Name:DRAYER PHYSICAL THERAPY KENTUCKY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN & 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 1:1010 MONARCH ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1497
Mailing Address - Country:US
Mailing Address - Phone:859-219-0211
Mailing Address - Fax:859-219-0241
Practice Address - Street 1:1010 MONARCH ST
Practice Address - Street 2:SUITE 150
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1497
Practice Address - Country:US
Practice Address - Phone:859-219-0211
Practice Address - Fax:859-219-0241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty