Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 004514 | KY |
N | 2251E1200X | Ergonomics | 004514 | KY |
N | 225XE1200X | Ergonomics | 004514 | KY |
N | 2251S0007X | Physical Therapist - Sports | 004514 | KY |
N | 2251X0800X | Physical Therapist - Orthopedic | 004514 | KY |
NPI | 1811106305 |
---|---|
Provider Name | Dr. Adrian Courtney Banton |
First Address | Franklin, KY 42134-9119 |
Second Address | Franklin, KY 42134-2746 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 17/03/2018 |