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Individual

MRS. KEISHIA DANIELLE EMBRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
102 W MAPLE ST, SCOTTSVILLE, KY 42164-1134
(270) 239-6640
Mailing address
1648 BOYCE FAIRVIEW RD, ALVATON, KY 42122-7608

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005882
KY

Other

Enumeration date
09/15/2011
Last updated
06/20/2013
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