Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 001420 | KY |
Y | 2251E1300X | Electrophysiology, Clinical | 001420 | KY |
NPI | 1831180694 |
---|---|
Provider Name | Sharon Variot |
First Address | Richmond, KY 40475-2337 |
Second Address | Lexington, KY 40503-5400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 07/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000190632 | BC P-EMG (01) | KY |
000000310944 | BC FOR RICHMOND (01) | KY |
87001491 | (05) | KY |