Individual
KRISTON TAYLOR PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1517 GAGEL AVE, LOUISVILLE, KY 40216-4017
(502) 210-5538
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03859
KY
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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