Individual
JULIE A MIKESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 GOOD SAMARITAN WAY, JEFFERSONTOWN, KY 40299-6117
(502) 267-7403
(502) 266-9001
Mailing address
3500 GOOD SAMARITAN WAY, JEFFERSONTOWN, KY 40299-6117
(502) 267-7403
(502) 266-9001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-0143
KY
Other
Enumeration date
07/11/2007
Last updated
04/20/2009
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