Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 006189 | KY |
N | 225100000X | Physical Therapist | 05011066A | IN |
NPI | 1003157538 |
---|---|
Provider Name | Craig L Satterley |
First Address | Crestwood, KY 40014-8679 |
Second Address | Crestwood, KY 40014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2013 |
Last Update Date | 29/04/2019 |