| Nicholas Dellaflora, | |
|
1490 Diederich Blvd, Russell, KY 41169-1719 | |
| (606) 833-9444 | |
| (606) 833-9442 |
| Full Name | Nicholas Dellaflora |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1490 Diederich Blvd, Russell, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700568854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT020669 (Ohio) | Secondary |
| 225100000X | Physical Therapist | 009006 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Dellaflora, 112 Hillcrest Ct, Russell, KY 41169-1401 Ph: (614) 557-9340 | Nicholas Dellaflora, 1490 Diederich Blvd, Russell, KY 41169-1719 Ph: (606) 833-9444 |
Jeremy Stephenson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1451 Diederich Blvd, Russell, KY 41169 Phone: 606-836-6683 | |
Anita Frazier-brooks, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 452 Bluebird Dr, Russell, KY 41169 Phone: 606-922-2596 | |
Jasmine Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1451 Diederich Blvd, Russell, KY 41169 Phone: 606-836-6683 |