Provider Demographics
NPI:1013655901
Name:MAY, NOLAN PATRICK (DPT)
Entity Type:Individual
Prefix:
First Name:NOLAN
Middle Name:PATRICK
Last Name:MAY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10306 LONG HOME RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-4020
Mailing Address - Country:US
Mailing Address - Phone:502-649-6761
Mailing Address - Fax:
Practice Address - Street 1:12000 AIKEN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-2413
Practice Address - Country:US
Practice Address - Phone:502-489-5002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-22
Last Update Date:2022-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTP2022015225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist