Vesta M. Esham, PTA

Individual provider Active NPI Physical Therapy Assistant · Inez, KY

NPI 1376937706 · NPPES record last updated Mar 24, 2015

Key facts

NPI
1376937706
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
002946 (KY)
Practice address
65 Otto Drive
Inez, KY 41224
Phone
(606) 298-4567
Fax
(606) 298-7073
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
002946KYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inez Physical Therapy Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 002946 KY Yes

Addresses

Primary practice location

65 Otto Drive
Inez, KY 41224

Mailing address

65 Otto Drive
Inez, KY 41224
Phone (606) 298-4567

Other providers in Inez, KY

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

Sources for this page

Verify at the official NPI Registry.