Individual
MS. KRISTINE MARIE GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
201 KIMBERLY LN, WILLIAMSTOWN, KY 41097-9458
(859) 824-7803
Mailing address
201 KIMBERLY LN, WILLIAMSTOWN, KY 41097-9458
(859) 824-7803
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03146
KY
Other
Enumeration date
04/08/2015
Last updated
05/07/2015
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