Individual
DR. MICHAEL CLELLAND BRENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
190 W 1ST ST STE 103, CAMPBELLSVILLE, KY 42718-2264
(270) 789-6629
Mailing address
7202 WILLIAMSGATE BLVD, CRESTWOOD, KY 40014-7017
(502) 689-6557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005671
KY
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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