Provider Demographics
NPI:1841897402
Name:GRIFFITH, JOSHUA ROBERT (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ROBERT
Last Name:GRIFFITH
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 1:100 LONDON MOUNTAIN VIEW DR STE 400
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-6669
Mailing Address - Country:US
Mailing Address - Phone:606-330-0513
Mailing Address - Fax:606-330-0516
Practice Address - Street 1:100 LONDON MOUNTAIN VIEW DR STE 400
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-6669
Practice Address - Country:US
Practice Address - Phone:606-330-0513
Practice Address - Fax:606-330-0516
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY008101225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist