Individual
JARED RAYMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 WILLIAM THOMASON BYU STE 1, LEITCHFIELD, KY 42754-1498
(270) 259-3676
Mailing address
40 TUCKER LN, VINE GROVE, KY 40175-6099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/26/2019
Last updated
05/26/2019
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