Individual
MADISON CHASE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
460 E BRANNON RD, NICHOLASVILLE, KY 40356-6039
(859) 887-0599
(859) 887-0979
Mailing address
1868 PLAUDIT PL STE B, LEXINGTON, KY 40509-2429
(859) 264-0512
(859) 264-0595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007912
KY
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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