Individual
JACKIE ANN PLUNKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
123 KINGS DR, MAYFIELD, KY 42066-3602
(270) 727-5120
Mailing address
123 KINGS DR, MAYFIELD, KY 42066-3602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008026
KY
Other
Enumeration date
09/25/2023
Last updated
09/27/2023
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