Provider Demographics
NPI:1053767798
Name:MUSE, TERRELL JOSEPH (DPT)
Entity type:Individual
Prefix:DR
First Name:TERRELL
Middle Name:JOSEPH
Last Name:MUSE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 HIDDEN CREST DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-4239
Mailing Address - Country:US
Mailing Address - Phone:606-305-8620
Mailing Address - Fax:
Practice Address - Street 1:106 GOVER ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501-3332
Practice Address - Country:US
Practice Address - Phone:606-679-8331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist