Provider Demographics
NPI:1902848062
Name:GRAEHLER, JOHN K (PT, OCS)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:K
Last Name:GRAEHLER
Suffix:
Gender:M
Credentials:PT, OCS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:914 BROADFIELDS DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4342
Mailing Address - Country:US
Mailing Address - Phone:502-964-5404
Mailing Address - Fax:
Practice Address - Street 1:7926 PRESTON HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40219-3848
Practice Address - Country:US
Practice Address - Phone:502-964-5404
Practice Address - Fax:502-964-6164
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KYKY19062251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic