Individual
MRS. HOLLIE NICHOLE PAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1105 W RESERVOIR AVE, CENTRAL CITY, KY 42330-1912
(270) 977-0189
Mailing address
1105 W RESERVOIR AVE, CENTRAL CITY, KY 42330-1912
(270) 977-0189
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02512
KY
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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