Individual
MICHELLE WIESNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3013 ASHLEY OAKS DR, LEXINGTON, KY 40515-1411
(859) 806-1061
Mailing address
3013 ASHLEY OAKS DR, LEXINGTON, KY 40515-1411
(859) 806-1061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
KY 002326
KY
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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