| Restorative Physical Therapy & Core Wellness Inc | |
|
1795 Alysheba Way Ste 5103 Lexington KY 40509-2473 | |
| (859) 309-1766 | |
| (859) 309-1854 |
| Full Name | Restorative Physical Therapy & Core Wellness Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1795 Alysheba Way Ste 5103, Lexington, Kentucky |
| Authorized Official Name and Position | Tiffany Marie Hamilton (OWNER) |
| Authorized Official Contact | 8593091766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Physical Therapy & Core Wellness Inc 1795 Alysheba Way Ste 5103 Lexington KY 40509-2473 Ph: (859) 309-1766 | Restorative Physical Therapy & Core Wellness Inc 1795 Alysheba Way Ste 5103 Lexington KY 40509-2473 Ph: (859) 309-1766 |
| NPI Number | 1568058824 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/21/2020 |
| Medicare PECOS PAC ID | 1759797616 |
|---|---|
| Medicare Enrollment ID | O20210302000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568058824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Tiffany Marie Hamilton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639613631 PECOS PAC ID: 0941548119 Enrollment ID: I20190213001867 |
| Provider Name | Danielle L Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104583889 PECOS PAC ID: 0143610055 Enrollment ID: I20211208003088 |
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