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Individual

DIANE BLYTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
6000 HUNTING RD, LOUISVILLE, KY 40222-6398
(502) 358-9724
Mailing address
7300 BROWNSBORO RD, LOUISVILLE, KY 40241-2814
(502) 500-7946

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01957
KY

Other

Enumeration date
02/25/2022
Last updated
02/25/2022
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