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Individual

JEFFREY WIMSATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
291 N HUBBARDS LN STE 195, LOUISVILLE, KY 40207-8227
(502) 632-4003
(502) 632-4004
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 221-9054

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007090
KY

Other

Enumeration date
07/31/2017
Last updated
02/03/2022
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