Individual
DESTINY EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3617 CHURCH ST, COVINGTON, KY 41015-1430
(859) 206-7805
Mailing address
3617 CHURCH ST, COVINGTON, KY 41015-1430
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
TCA034
KY
Other
Enumeration date
07/02/2024
Last updated
07/01/2025
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