Tracy Jo Arthurs

Individual provider Active NPI Physical Therapy Assistant · Mayslick, KY

NPI 1043332018 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043332018
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A00972 (KY)
Practice address
5330 Laytham Pike
Mayslick, KY 41055-8930
Phone
(606) 763-6255
Fax
(606) 763-6245
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A00972KYMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A00972 KY Yes

Addresses

Primary practice location

5330 Laytham Pike
Mayslick, KY 41055-8930

Mailing address

HC 73 Box 1777
Vanceburg, KY 41179-9415
Phone (606) 763-6255

Other providers in Mayslick, KY

All providers in Mayslick, KY · Physical Therapy Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.