Individual
MISTY L ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2491 BRIDWELL LOOP, MARION, KY 42064-6162
(270) 965-2475
Mailing address
2491 BRIDWELL LOOP, MARION, KY 42064-6162
(270) 965-2475
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01498
KY
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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