NPI 1053300277

Forrest L (ben) Waide, PTOCSCHT

Practitioner Physical Therapist Madisonville, KY

Practice location

Address: 2228 Anton Rd, Madisonville, KY 42431-7700
Phone: (270) 399-1776
Fax: (270) 440-2007

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 001533 (KY)

Other Physical Therapist providers in Kentucky →

Hand Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251H1200X Licence 10011030054 (KY)

Registry record

NPI: 1053300277
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2005
Record last updated: 27 Feb 2017

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.