Individual
MRS. TIA MICHELLE ROUSH CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1900 RICHMOND RD, LEXINGTON, KY 40502-1204
(859) 268-5701
(859) 268-5636
Mailing address
1900 RICHMOND RD, LEXINGTON, KY 40502-1204
(859) 268-5701
(859) 268-5636
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
01/05/2017
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