Provider Demographics
NPI:1447959747
Name:FINCH, JOHN CHRISTIAN (DPT)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:CHRISTIAN
Last Name:FINCH
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 1:3030 FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:KY
Mailing Address - Zip Code:42159-6848
Mailing Address - Country:US
Mailing Address - Phone:270-792-6942
Mailing Address - Fax:
Practice Address - Street 1:1300 CAMPBELL LN
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-4162
Practice Address - Country:US
Practice Address - Phone:270-782-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY008675225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist