Individual
MRS. JENNIFER SUE WYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
121 BYRON DR, PADUCAH, KY 42003-0963
(270) 898-2289
Mailing address
121 BYRON DR, PADUCAH, KY 42003-0963
(270) 898-2289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000999
KY
Other
Enumeration date
06/01/2007
Last updated
07/09/2007
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