Body Structure Clinic Inc.

NPI #1174576177 in Lexington, Kentucky

Provider Information

NPI Number: 1174576177
Entity Type: Organization
Organization Name: Body Structure Clinic Inc.
Primary Specialty: Physical Therapist
Enumeration Date: May 19, 2006
Last Updated: Apr 13, 2012

Practice Location

Address: 2600 GRIBBIN DR
City: Lexington
State: Kentucky
ZIP Code: 40517-4498
Phone: (859) 268-8190

Authorized Official

Name: KEVIN M. BALCIRAK
Title: OWNER/PRESIDENT
Phone: (859) 268-8190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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