Individual
JEANIE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 STONECREST RD STE 2, SHELBYVILLE, KY 40065-8166
(502) 647-0133
(502) 647-0138
Mailing address
624 ASHBOURNE DR, SHELBYVILLE, KY 40065-7394
(502) 647-7307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002048
KY
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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