Individual
MRS. HEATHER BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THER ASSIST
Contact information
Practice address
815 TRIPLETT ST, OWENSBORO, KY 42303
(270) 683-4517
(270) 852-1490
Mailing address
PO BOX 1168, 815 TRIPLETT ST, OWENSBORO, KY 42302
(270) 683-4517
(270) 852-1490
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11903135ICF
—
KY
05
—
33000035SCL
—
KY
05
—
4S118379EPSDT
—
KY
Enumeration date
12/27/2006
Last updated
07/08/2007
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