Individual
CALLEE GRACE HIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 TOWER CIR, SOMERSET, KY 42503-3480
(606) 416-5139
Mailing address
4708 THOMAS RIDGE RD, DUNNVILLE, KY 42528-6472
(606) 706-5203
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03813
KY
Other
Enumeration date
06/12/2019
Last updated
10/16/2019
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