Individual
CHRISTIE KISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1165 MONARCH ST, LEXINGTON, KY 40513-1979
(859) 823-5055
Mailing address
4472 LOGANS FORT LN, LEXINGTON, KY 40509-8552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-004110
KY
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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