Individual
AUTUMN HACKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
217 S 3RD ST FL 4, DANVILLE, KY 40422-1823
(859) 712-7072
Mailing address
PO BOX 2996, LONDON, KY 40743-2996
(606) 687-8936
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
10180
KY
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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