Individual
ALEXANDER J GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 KENTUCKY AVE, KEVIL, KY 42053-8976
(270) 462-8252
(270) 462-8253
Mailing address
PO BOX 295, LA CENTER, KY 42056-0295
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A04642
KY
Other
Enumeration date
10/16/2025
Last updated
10/24/2025
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