Individual
ELIZABETH GRACE SIDEBOTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2624 RING RD STE 101, ELIZABETHTOWN, KY 42701-9118
(270) 900-4052
(270) 900-4054
Mailing address
2624 RING RD STE 101, ELIZABETHTOWN, KY 42701-9118
(270) 900-4052
(270) 900-4054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007445
KY
Other
Enumeration date
08/02/2018
Last updated
11/29/2022
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