IndividualActive
Austin Douglas
NPI 1629787908 · Physical Therapist · Bardstown, KY
Provider details
- NPI number
- 1629787908
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 008673 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
44 Lincoln Way
Bardstown, KY 40004-2079
Phone: (502) 350-0880
Approximate (ZIP-level) locationGet directions
Mailing address
44 Lincoln Way
Bardstown, KY 40004-2079
Registry dates
- Enumerated
- 2022-11-16
- Last updated
- 2022-11-16
- Certified
- 2022-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.