OrganizationActive
Crystal Spencer Physical Therapy Services, PLLC
NPI 1053779017 · Early Intervention Provider Agency · Sandy Hook, KY
Provider details
- NPI number
- 1053779017
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Crystal Spencer, Physical Therapist(606) 424-0124
- License
- 004988 (KY)
Specialties & taxonomies
Agencies
Practice location
196 Blue Ash Dr
Sandy Hook, KY 41171-7094
Phone: (606) 424-0124
Approximate (ZIP-level) locationGet directions
Mailing address
196 Blue Ash Dr
Sandy Hook, KY 41171-7094
Registry dates
- Enumerated
- 2016-02-05
- Last updated
- 2016-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.