Individual provider · Type 1 NPI

Charles Blake Sullivan, DPT

Physical Therapist · Paducah, KY

NPI number 1821562612 Active

Practice location

4645 Village Square Dr Ste A
Paducah, KY 42001-7448

Call (270) 443-5712 Map

Mailing address

2255 Owens Chapel Rd
Melber, KY 42069-8814

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X007479 (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 1821562612

Charles Blake Sullivan, DPT's National Provider Identifier is 1821562612, issued on Jan 15, 2019. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Paducah, KY. The record was last updated on Jan 15, 2019.