Individual
LILA GRACE SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
65 OTTO DR, INEZ, KY 41224-8807
(606) 298-4567
(606) 298-7073
Mailing address
4009 HIGHWAY 581, ULYSSES, KY 41264-9070
(606) 626-8689
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A04617
KY
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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