Individual
JENNI HANSROTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5050B VILLAGE SQUARE DR, PADUCAH, KY 42001-9499
(270) 443-0681
(270) 442-7948
Mailing address
5050B VILLAGE SQUARE DR, PADUCAH, KY 42001-9499
(270) 443-0681
(270) 442-7948
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02856
KY
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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