Individual
JEREMY WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
9400 WILLIAMSBURG PLZ, SUITE 100, LOUISVILLE, KY 40222-5093
(502) 412-4486
(502) 412-4490
Mailing address
9400 WILLIAMSBURG PLZ, SUITE 100, LOUISVILLE, KY 40222-5093
(502) 412-4486
(502) 412-4490
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004213
KY
Other
Enumeration date
07/12/2006
Last updated
09/19/2007
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