Fairrow, Derek

Fairrow, Derek is an individual health care provider with primary practice located at 1500 Pride Ave , Madisonville KY 42431-9157. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Fairrow, Derek can be contacted via phone (270) 821-1813.

Contact Information

Primary practice address
1500 Pride Ave Madisonville KY 42431-9157
Phone: (270) 821-1813
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A02649 Kentucky

Profile Details

NPI number 1760727929
LBN Legal business name Fairrow, Derek
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2012
Last updated Nov 29th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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