Individual
JUSTIN REED HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
703 E MAIN ST UNIT 1, LEBANON, KY 40033-8696
(270) 699-9503
(270) 699-3804
Mailing address
703 E MAIN ST UNIT 1, LEBANON, KY 40033-8696
(270) 699-9503
(270) 699-3804
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008374
KY
225100000X
Physical Therapist
TP2021023
KY
Other
Enumeration date
05/11/2021
Last updated
09/03/2021
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