IndividualActive
Charles Hazle, DPT
NPI 1295042703 · Physical Therapist · Berea, KY
Provider details
- NPI number
- 1295042703
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 001909 (KY)
Practice location
202 Kidd Dr
Suite 3
Berea, KY 40403-7000
Phone: (859) 228-0201
Fax: (859) 228-0206
Mailing address
383 Corbin Center Dr
Corbin, KY 40701-1895
Registry dates
- Enumerated
- 2010-09-03
- Last updated
- 2010-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.