Individual
MICAH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 WILLIAMS RD, NICHOLASVILLE, KY 40356-1917
(859) 881-0333
Mailing address
102 WILLIAMS RD, NICHOLASVILLE, KY 40356-1917
(859) 200-9199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007829
KY
225100000X
Physical Therapist
TP2019107
KY
Other
Enumeration date
09/13/2019
Last updated
03/09/2021
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