Heather Gream, DPT

Individual provider Active NPI Physical Therapist · Crestwood, KY

NPI 1093099285 · NPPES record last updated Oct 5, 2011

Key facts

NPI
1093099285
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
005888 (KY)
Practice address
6003 Pleasant Colony CT
Crestwood, KY 40014-8678
Phone
(502) 241-5597
Fax
(502) 241-6499
NPI assigned
Oct 5, 2011
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
005888KYMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005888 KY Yes

Addresses

Primary practice location

6003 Pleasant Colony CT
Crestwood, KY 40014-8678

Mailing address

6003 Pleasant Colony CT
Crestwood, KY 40014-8678
Phone (502) 241-5597

Other providers in Crestwood, KY

All providers in Crestwood, KY · Physical Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.