Individual
KRISTEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC, CLT
Contact information
Practice address
215 CENTRAL AVE STE 200, LOUISVILLE, KY 40208-1451
(502) 637-9313
(502) 635-6317
Mailing address
215 CENTRAL AVE STE 200, LOUISVILLE, KY 40208-1451
(502) 637-9313
(502) 635-6317
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4917
KY
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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