Individual
ANDREA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
115 S SALEM DR, BARDSTOWN, KY 40004-1762
(502) 460-0131
(502) 385-0234
Mailing address
115 S SALEM DR, BARDSTOWN, KY 40004-1762
(502) 460-0131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00448
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131
NO MEDICAID NUMBER
KY
Enumeration date
02/28/2020
Last updated
02/28/2020
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