Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nathaniel Lee Proctor

Individual provider Physical Therapist · NPI 1194654293

Nathaniel Lee Proctor is a Physical Therapist in Shively, Kentucky. Licensed in Kentucky. Registered with an NPI since 2026.

Licensed in
KY
In the registry since
2026

Practice location Address checks out

4420 Dixie Hwy Ste 122
Shively, KY 40216-2986
Phone: (502) 447-2750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 009621 (KY)

Record details

NPI number1194654293
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address6612 Deerfield Dr, Charlestown, IN 47111-8778

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