DR. Levi Ray Bristow, DPT

NPI #1205171980 in La Grange, Kentucky

Provider Information

NPI Number
1205171980
Entity Type
Individual
Name
DR. Levi Ray Bristow, DPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Dec 6, 2012
Last Updated
Dec 6, 2012

Practice Location

Address
2612 SUNNINGDALE PL W
ZIP Code
40031-8948
Phone
(502) 759-2879

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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