NPI 1053779017

Crystal Spencer Physical Therapy Services, PLLC

Organisation Early Intervention Provider Agency Sandy Hook, KY

Practice location

Address: 196 Blue Ash Dr, Sandy Hook, KY 41171-7094
Phone: (606) 424-0124

Authorised official

Name: Crystal Spencer
Title: Physical Therapist
Phone: (606) 424-0124

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 004988 (KY)

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Registry record

NPI: 1053779017
Entity type: Organization
NPI issued: 5 Feb 2016
Record last updated: 5 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.