Organization
SELF
Active
Organization
SELF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA RENEE BICKWERMERT DPT (PHYSICAL THERAPIST)
(270) 775-2790
Entity
Organization
Contact information
Practice address
410 JASON DR, RICHMOND, KY 40475-2291
(270) 775-2790
Mailing address
410 JASON DR, RICHMOND, KY 40475-2291
(270) 775-2790
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006497
KY
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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