Individual
ELIZABETH MUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
727 W MAIN ST, LEBANON, KY 40033-1838
(270) 321-4329
Mailing address
2230 HORAN LN, SPRINGFIELD, KY 40069-8904
(859) 940-0411
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005917
KY
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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