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Contact Information

JOHN W POLK IV, PT, DPT
330 WALLER AVE STE 275
LEXINGTON, KY40504-2930
 Phone: 859-447-8600
 Fax: 859-447-8599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JOHN W POLK IV · (Male)

NPI Number 1376945329
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 09/22/2014
Last updated 08/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 006531
  • KY Medicaid 7100810440
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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