Lauren Taylor Sue Anderson
Individual provider Active NPI Physical Therapy Assistant · Louisville, KY
NPI 1043783798 · NPPES record last updated Jan 5, 2019
Key facts
- NPI
- 1043783798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 06005721A (IN)
- Practice address
- 2701 Chestnut Station CT
Louisville, KY 40299-6395 - Phone
- (800) 355-1060
- NPI assigned
- Jan 5, 2019
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 06005721A | IN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06005721A | IN | Yes |
Addresses
Primary practice location
2701 Chestnut Station CT
Louisville, KY 40299-6395
Mailing address
308 S Franklin St
Winamac, IN 46996-1409
Other providers in Louisville, KY
- Kara Lee Anderson
- Kenneth C Anderson
- Kiran Anderson
- Kristopher Anderson
- Latrice Anderson
- Maisha Anderson
- Nikiala C Anderson
- Paige Anderson
- Reginald M Anderson
- Sarah McEnrue Anderson
All providers in Louisville, KY · Physical Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.