Individual
KIMBERLY CROCETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
4785 RHEMA WAY, LEXINGTON, KY 40514-1432
(859) 699-2914
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001115
KY
Other
Enumeration date
07/19/2015
Last updated
07/19/2015
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