Individual
MICHELLE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 E MCELROY ST, MORGANFIELD, KY 42437-1583
(270) 621-5108
Mailing address
4604 US HIGHWAY 60 W, MORGANFIELD, KY 42437-6515
(270) 389-5170
(270) 389-5174
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
131148
KY
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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