Individual
KELSEY BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
62 ADAMS ST, BARDWELL, KY 42023-8564
(270) 519-5805
Mailing address
62 ADAMS ST, BARDWELL, KY 42023-8564
(270) 519-5805
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02724
KY
Other
Enumeration date
03/08/2012
Last updated
11/22/2016
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