Individual
MOLLY TARTER DENISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6580 KENWOOD CROSSING RD, CRESTWOOD, KY 40014-7614
(270) 991-5399
Mailing address
8018 DOE TRL, LA GRANGE, KY 40031-6964
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007921
KY
Other
Enumeration date
03/02/2020
Last updated
10/07/2021
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