Individual
SANDRA WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 MEDPARK DR, SOMERSET, KY 42503-2734
(606) 679-1761
Mailing address
77 WARRICK RD, MONTICELLO, KY 42633-2680
(606) 217-3074
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A00749
KY
Other
Enumeration date
05/29/2007
Last updated
02/26/2025
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