Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT001261 | KY |
N | 2251X0800X | Physical Therapist - Orthopedic | PT06940 | OH |
NPI | 1043397508 |
---|---|
Provider Name | Todd E. Munson |
First Address | Ashland, KY 41105-1240 |
Second Address | Ashland, KY 41102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 26/04/2019 |