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Contact Information

JASON C BRACCO, PT, DPT, OCS, ATC
215 CENTRAL AVE STE 200
LOUISVILLE, KY40208-1451
 Phone: 502-637-9313
 Fax: 502-635-6317
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JASON C BRACCO · (Male)

NPI Number 1245815281
Status Active
Credentials PT, DPT, OCS, ATC
Entity Individual
Enumeration date 03/11/2021
Last updated 03/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 004887
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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