Individual
KENNETH GARRETT DUGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, PTA
Contact information
Practice address
5625 PEARL DR STE 100, EVANSVILLE, IN 47712-8106
(812) 759-7493
Mailing address
415 CROSSLAKE DR STE B, EVANSVILLE, IN 47715-8272
(812) 476-0409
(812) 476-1016
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
06006142A
IN
2255A2300X
Athletic Trainer
Primary
36001954A
IN
Other
Enumeration date
09/26/2012
Last updated
01/07/2021
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