Individual
BRIDGETT WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
198 REVIS RD, WEST LIBERTY, KY 41472-7819
(606) 776-7315
(606) 743-4470
Mailing address
198 REVIS RD, WEST LIBERTY, KY 41472-7819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02560
KY
Other
Enumeration date
11/14/2010
Last updated
11/14/2010
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