Individual
CHASITY TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
419 N SEMINARY ST, MADISONVILLE, KY 42431-1515
(270) 821-5564
Mailing address
43 NALL ST, CLAY, KY 42404-2229
(270) 213-0134
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01984
KY
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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