NPI 1063168623
Geriactive
Practice location
- Address
- 335 Streamland Dr, Danville, KY 40422-1081
- Phone
- (606) 424-7483
- Mailing address
- PO Box 1872, Danville, KY 40423-1872
Authorised official
- Name
- Amanda Pruitt
- Title
- Owner/Physical Therapist
- Phone
- (606) 424-7483
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1063168623
- Entity type
- Organization
- NPI issued
- 22 Feb 2022
- Record last updated
- 15 Mar 2022
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.