Individual provider · Type 1 NPI

Nathaniel Lee Proctor

Physical Therapist · Shively, KY

NPI number 1194654293 Active

Practice location

4420 Dixie Hwy Ste 122
Shively, KY 40216-2986

Mailing address

6612 Deerfield Dr
Charlestown, IN 47111-8778

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X009621 (KY)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1194654293

Nathaniel Lee Proctor's National Provider Identifier is 1194654293, issued on May 15, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Shively, KY. The record was last updated on Aug 5, 2026.