Individual
JEREMY DARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1742
(270) 780-0552
Mailing address
196 LOVERS LN APT B, GLASGOW, KY 42141-5014
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03985
KY
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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