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MRS. MICHELLE LANE BAUMGARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
100 SPARKS AVE, NICHOLASVILLE, KY 40356-1004
(859) 885-4171
Mailing address
1461 COPPER RUN BLVD, LEXINGTON, KY 40514-2223
(859) 351-3236

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2043
KY

Other

Enumeration date
01/25/2016
Last updated
01/25/2016
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