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Contact Information

APTIVA HEALTH SPORTS MEDICINE LLC
3611 NEWBURG RD STE 101
LOUISVILLE, KY40218-3368
 Phone: 502-909-0772
 Fax: 855-859-0123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Family

363LF0000X 50 Nurse Practitioner
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for APTIVA HEALTH SPORTS MEDICINE LLC · (Female)

NPI # 1114649696
Status Active
Credentials
Entity Individual
Enumeration date 09/13/2022
Last updated 07/31/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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