Individual
MRS. TAMI THERESE WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
130 MEADOWLARK DR, RICHMOND, KY 40475-2238
(859) 623-9472
Mailing address
692 CONCORD RD, RICHMOND, KY 40475-9013
(895) 626-5299
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01559
KY
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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