Individual
KATRINA ANDERSON BOSTRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
695 KY HWY 15N, SUITE 3, JACKSON, KY 41339
(606) 666-9293
(606) 666-9220
Mailing address
PO BOX 803, JACKSON, KY 41339-0803
(606) 666-9293
(606) 666-9220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002877
KY
Other
Enumeration date
01/18/2007
Last updated
04/15/2009
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