Jean Austerman

Individual provider Active NPI Physical Therapist · La Grange, KY

NPI 1972983757 · NPPES record last updated Mar 4, 2024

Key facts

NPI
1972983757
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
06522 (KY)
Practice address
1212 Market St
La Grange, KY 40031-7986
Phone
(502) 225-9981
NPI assigned
Jun 5, 2015
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)
Yes

State licenses

LicenseStateTypeSpecialty
06522KYMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 06522 KY Yes

Addresses

Primary practice location

1212 Market St
La Grange, KY 40031-7986

Mailing address

65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone (385) 308-8034

Other practice location 1

1227 Goss Ave
Louisville, KY 40217-1239
Phone (502) 636-1200

Other providers in La Grange, KY

All providers in La Grange, KY · Physical Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.