Provider Demographics
NPI:1508639212
Name:RICE, BYRON WAYNE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:BYRON
Middle Name:WAYNE
Last Name:RICE
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14889 N US HIGHWAY 25 E STE 9
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-6471
Mailing Address - Country:US
Mailing Address - Phone:606-202-7014
Mailing Address - Fax:
Practice Address - Street 1:14889 N US HIGHWAY 25 E STE 9
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-6471
Practice Address - Country:US
Practice Address - Phone:606-202-7014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-03
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY008968225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist