Carol Fairchild, PTA, ATC
Individual provider Active NPI Physical Therapy Assistant · Williamstown, KY
NPI 1992853782 · NPPES record last updated Aug 18, 2014
Key facts
- NPI
- 1992853782
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A03092 (KY)
- Practice address
- 201 Kimberly LN
Williamstown, KY 41097-9458 - Phone
- (859) 824-7803
- NPI assigned
- Jan 8, 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 |
|---|---|---|---|
| A03092 | KY | MD | Physical Therapy Assistant |
| 089502532 | KY | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A03092 | KY | Yes |
| Athletic Trainer | 2255A2300X | 089502532 | KY |
Addresses
Primary practice location
201 Kimberly LN
Williamstown, KY 41097-9458
Mailing address
1811 Whispering TRL
Union, KY 41091-9539
Other names
- Carol Floyd
Other providers in Williamstown, KY
- David E. Ison, DMD, PSC
- Ashley Nicole De la Torre
- Donaldson Fowler LLC
- Stella Egan
- Sandra Elliott
- Foot Specialists of Greater Cincinnati
- Grant County Board of Education
- Grant Manor, LLC
- Leigh Ann Grant
- Kristine Marie Gulley
All providers in Williamstown, 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 Aug 18, 2014. 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.