Provider Demographics
NPI:1982092482
Name:BETSY LAYNE PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:BETSY LAYNE PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-632-1188
Mailing Address - Street 1:251 MEDICAL PLAZA LN
Mailing Address - Street 2:SUITE D
Mailing Address - City:WHITESBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41858-9323
Mailing Address - Country:US
Mailing Address - Phone:606-632-1188
Mailing Address - Fax:606-632-0075
Practice Address - Street 1:10824 US 23 SOUTH
Practice Address - Street 2:SUITE 102
Practice Address - City:BETSY LAYNE
Practice Address - State:KY
Practice Address - Zip Code:41605
Practice Address - Country:US
Practice Address - Phone:606-478-1111
Practice Address - Fax:606-478-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty