Individual
BETTY TEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N ELM ST, HENDERSON, KY 42420-2005
(270) 826-9794
(270) 826-6265
Mailing address
748 CONSTANZA DR, HENDERSON, KY 42420-5344
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01036
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12501920
—
KY
Enumeration date
06/29/2007
Last updated
07/08/2007
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