Individual
KELLY GEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
1111 WINTERBERRY DR, CRAWFORDSVILLE, IN 47933-1068
(765) 366-0215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009750A
IN
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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