Individual
ALLISON TAYLOR THIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
542 JIM SMITH RD, PINE KNOT, KY 42635-9156
(859) 576-0172
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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