Provider Demographics
NPI:1396067492
Name:FRANSEN, PAUL JOHN (PT)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:JOHN
Last Name:FRANSEN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-2218
Mailing Address - Country:US
Mailing Address - Phone:270-790-2248
Mailing Address - Fax:270-495-7020
Practice Address - Street 1:720 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-2218
Practice Address - Country:US
Practice Address - Phone:270-790-2248
Practice Address - Fax:270-495-7020
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004434225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist