Individual
WHITNEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
945 W RUSSELL ST, ELKHORN, KY 41522
(606) 754-4134
Mailing address
PO BOX 187, MYRA, KY 41549-0187
(606) 639-8624
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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