Individual
AMBERLEE SHANE MARKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1724 GRASSY CREEK RD, GRASSY CREEK, KY 41352-9063
(606) 359-3791
Mailing address
1724 GRASSY CREEK RD, GRASSY CREEK, KY 41352-9063
(606) 359-3791
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03833
KY
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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