Individual ProviderClinton Thomas LefeverPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address175 Medpark Dr, Somerset, KY 42503-2734(606) 679-1761PECOS EnrollmentBased on the most recent information from CMS, provider Clinton Thomas Lefever does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1346448917Provider TypeIndividualFull NameLefever, Clinton ThomasCredentialP.T.GenderMaleSole ProprietorNoEnumeration Date7/5/2007Last Updated4/2/2014Contact InformationPractice LocationPractice Address175 Medpark Dr, Somerset, KY 42503-2734Phone(606) 679-1761Fax(606) 678-0971Mailing LocationMailing Address175 Medpark Dr, Somerset, KY 42503-2734Phone(606) 679-1761Fax(606) 678-0971Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense005149KentuckyProvider IdentifiersIDDescriptionIssuerID225875DescriptionOtherIssuerBCBSKentuckyID879003950DescriptionMedicaidIssuerUnlistedKentucky