Individual
TESSA D. MARIE PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
151 E BROADWAY ST STE B, EMINENCE, KY 40019
(502) 845-0005
(502) 845-0006
Mailing address
151 E BROADWAY ST STE B, EMINENCE, KY 40019-1149
(502) 845-0005
(502) 548-0006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006000
KY
Other
Enumeration date
02/06/2012
Last updated
07/27/2019
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