Terry, Joann M

Terry, Joann M is an individual health care provider with primary practice located at 1400 Gloria Terrell Drive Suite G, Wilder KY 41076-9189. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Terry, Joann M can be contacted via phone (859) 781-2800.

Contact Information

Primary practice address
1400 Gloria Terrell Drive Suite G Wilder KY 41076-9189
Phone: (859) 781-2800
Fax: (859) 781-3500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 001310 Kentucky

Profile Details

NPI number 1124024823
LBN Legal business name Terry, Joann M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124024823 NPPES
Kentucky MEDICAID 8700148300

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