Bodyworx Physical Therapy & Chiropractic Wellness Center Pllc | |
1451 Diederich Blvd, Russell, KY 41169-1718 | |
(606) 833-2173 | |
Not Available |
Full Name | Bodyworx Physical Therapy & Chiropractic Wellness Center Pllc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 1451 Diederich Blvd, Russell, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598819468 | NPI | - | NPPES |
1188596 | Other | KY | CHA PROVIDER NUMBER |
85900272 | Medicaid | KY | |
85001501 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4634 (Kentucky) | Secondary |
225100000X | Physical Therapist | 005907 (Kentucky) | Primary |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Bodyworx Physical Therapy & Chiropractic Wellness Center Pllc 1451 Diederich Blvd, Russell, KY 41169-1718 Ph: (606) 836-6683 | Bodyworx Physical Therapy & Chiropractic Wellness Center Pllc 1451 Diederich Blvd, Russell, KY 41169-1718 Ph: (606) 833-2173 |
Jeremy Stephenson, Physical Therapist Medicare: Not Enrolled in Medicare 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 |