Individual
RENEE S. WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
958 COLLETT AVE, BOWLING GREEN, KY 42101-2304
(270) 745-1475
(270) 745-1473
Mailing address
PO BOX 90010, BOWLING GREEN, KY 42102-9010
(270) 745-1446
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A00693
KY
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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