Individual
JONATHAN REED PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
165 NATCHEZ TRACE AVE, SUITE 200, BOWLING GREEN, KY 42103-7940
(270) 796-4698
(270) 782-3274
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(812) 759-7451
(812) 759-7482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006771
KY
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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