Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 003764 | KY |
NPI | 1568703254 |
---|---|
Provider Name | Dana Lykins |
First Address | Lexington, KY 40511 |
Second Address | Lexington, KY 40511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2013 |
Last Update Date | 06/03/2013 |