Individual
ANDREA BERRY DECKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 WESTWOOD ST, GLASGOW, KY 42141-1030
(270) 651-9131
Mailing address
703 NORTHWOOD DR, GLASGOW, KY 42141-8059
(270) 678-1843
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01140
KY
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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