Provider Demographics
NPI:1053524702
Name:THARP, WILLIAM H (PT)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:H
Last Name:THARP
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 1:1925 STRATHMOOR BLVD.
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-2525
Mailing Address - Country:US
Mailing Address - Phone:502-459-9424
Mailing Address - Fax:
Practice Address - Street 1:1925 STRATHMOOR BLVD.
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-2525
Practice Address - Country:US
Practice Address - Phone:502-459-9424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY001107225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist