Julie A Mikesell
Individual provider Active NPI Physical Therapy Assistant · Jeffersontown, KY
NPI 1376741363 · NPPES record last updated Apr 20, 2009
Key facts
- NPI
- 1376741363
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA-0143 (KY)
- Practice address
- 3500 Good Samaritan Way
Jeffersontown, KY 40299-6117 - Phone
- (502) 267-7403
- Fax
- (502) 266-9001
- NPI assigned
- Jul 11, 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-0143 | KY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-0143 | KY | Yes |
Addresses
Primary practice location
3500 Good Samaritan Way
Jeffersontown, KY 40299-6117
Mailing address
3500 Good Samaritan Way
Jeffersontown, KY 40299-6117
Phone (502) 267-7403
Other providers in Jeffersontown, KY
- Neil Langschied
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- Vanessa Marie Martinez
- Maryellen McCarthy
- Kandice Makayla Nixon
- Brenda Rodriguez Nowlin
- Karmen Linsey Oliver
- Partners in Eyecare, PSC
- Craig W Pfeffer CH
All providers in Jeffersontown, 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 Apr 20, 2009. 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.