Provider Demographics
NPI:1245295526
Name:LEVY, FRANCIS WALTER (PT)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:WALTER
Last Name:LEVY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:LEVY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1505 PORT ROYAL DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2238
Mailing Address - Country:US
Mailing Address - Phone:859-278-1848
Mailing Address - Fax:
Practice Address - Street 1:VA MEDICAL CENTER
Practice Address - Street 2:COOPER DR
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502
Practice Address - Country:US
Practice Address - Phone:859-233-4511
Practice Address - Fax:859-381-5994
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY001730225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist