Organization
THE UNBROKEN ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKLYN RENAE HAMMOND PT, DPT (CEO)
(586) 943-1717
Entity
Organization
Contact information
Practice address
2041 RIVER RD, LOUISVILLE, KY 40206-1006
(586) 943-1717
Mailing address
3705 GRANDVIEW AVE, LOUISVILLE, KY 40207-3711
(586) 943-1717
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
08/04/2021
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