| Nathaniel Lee Proctor, | |
|
4420 Dixie Hwy Ste 122, Shively, KY 40216-2986 | |
| (502) 447-2750 | |
| Not Available |
| Full Name | Nathaniel Lee Proctor |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4420 Dixie Hwy Ste 122, Shively, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194654293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | TP2026024 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel Lee Proctor, 6612 Deerfield Dr, Charlestown, IN 47111-8778 Ph: (812) 590-5072 | Nathaniel Lee Proctor, 4420 Dixie Hwy Ste 122, Shively, KY 40216-2986 Ph: (502) 447-2750 |
Matthew Thomas Powell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4420 Dixie Hwy Ste 122, Shively, KY 40216 Phone: 502-447-2750 | |
Louis James Walker Iii, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4420 Dixie Hwy Ste 122, Shively, KY 40216 Phone: 502-447-2750 | |
Amber Marie Miller, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4420 Dixie Hwy Ste 122, Shively, KY 40216 Phone: 502-447-2750 | |
Miss Christine Ann Brightwell, D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4420 Dixie Hwy, Suite 122, Shively, KY 40216 Phone: 502-447-2750 Fax: 502-449-9062 |