Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 005790 | KY |
NPI | 1013272913 |
---|---|
Provider Name | Dr. Stacy Renee Downs |
First Address | Louisville, KY 40207 |
Second Address | Louisville, KY 40207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2012 |
Last Update Date | 09/02/2017 |