Provider Demographics
NPI:1861660599
Name:ROBINSON, MEGAN JOY (PT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:JOY
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 ST ANDREWS RD
Mailing Address - Street 2:
Mailing Address - City:BRANDENBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40108
Mailing Address - Country:US
Mailing Address - Phone:859-753-7771
Mailing Address - Fax:
Practice Address - Street 1:518 HILLCREAST
Practice Address - Street 2:KORT PHYSICAL THERAPY BRANDENBURG
Practice Address - City:BRANDENBURG
Practice Address - State:KY
Practice Address - Zip Code:40108-7003
Practice Address - Country:US
Practice Address - Phone:270-422-3366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-15
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY005123225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist