Provider Demographics
NPI:1396722658
Name:DANNY HAMILTON, II P.T. P.S.C
Entity type:Organization
Organization Name:DANNY HAMILTON, II P.T. P.S.C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:H
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:II
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:606-789-5846
Mailing Address - Street 1:5459 KY ROUTE 321 STE 3
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-9157
Mailing Address - Country:US
Mailing Address - Phone:606-506-0815
Mailing Address - Fax:606-506-0831
Practice Address - Street 1:5459 KY ROUTE 321 STE 3
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-9157
Practice Address - Country:US
Practice Address - Phone:606-506-0815
Practice Address - Fax:606-506-0831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4532225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty