Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN BENNETT MCNABB, MSPT
ActivePhysical Therapy Assistant · ALVATON, KY
Registration Details
- NPI Number
- 1225034945
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2005 (20.849705790146 yrs)
- Last Updated
- May 17, 2023
- License
-
004115 (KY)
Practice Information
- Address
-
395 STONE BLUFF LNALVATON, KY, 421229721Browse KY providers · Browse ZIP 42122
- Phone
- 2707915972
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.