Individual
GENTRY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
307 JASON DR STE 4, RICHMOND, KY 40475-2774
(859) 353-3666
Mailing address
307 JASON DR STE 4, RICHMOND, KY 40475-2774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
Other
Enumeration date
10/05/2021
Last updated
12/14/2021
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