Provider Demographics
NPI:1912458886
Name:CIOCHETTY, HALLIE (DPT)
Entity Type:Individual
Prefix:
First Name:HALLIE
Middle Name:
Last Name:CIOCHETTY
Suffix:
Gender:F
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:PO BOX 6398
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42702-6398
Mailing Address - Country:US
Mailing Address - Phone:270-904-9615
Mailing Address - Fax:270-721-0028
Practice Address - Street 1:1945 SCOTTSVILLE RD BLDG II
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-3376
Practice Address - Country:US
Practice Address - Phone:270-904-9615
Practice Address - Fax:270-721-0028
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY006983225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist