Provider Demographics
NPI:1497844641
Name:TROUTT AND ASSOCIATES, PSC
Entity type:Organization
Organization Name:TROUTT AND ASSOCIATES, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TROUTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-744-9252
Mailing Address - Street 1:136 PROFESSIONAL AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-1116
Mailing Address - Country:US
Mailing Address - Phone:859-744-9252
Mailing Address - Fax:859-744-9118
Practice Address - Street 1:136 PROFESSIONAL AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-1116
Practice Address - Country:US
Practice Address - Phone:859-744-9252
Practice Address - Fax:859-744-9118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY31418208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty