BROCK WAYNE ATHEY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018141

License Status

ACTIVE

Business

First Name

BROCK

Middle

WAYNE

Last Name

ATHEY

Business Name

BROCK WAYNE ATHEY

Original Issue Date

09/22/2010

Effective Date

07/30/2024

Expiration Date

09/30/2026

City

CASEY

State

Zip

62420

County

CLARK

Ever Disciplined

LastModifiedDate

07/30/2024