Individual
TARA JORDAN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
101 SEXTON WAY, MIDWAY, KY 40347-7800
(859) 846-4663
Mailing address
505 HICKS PIKE, CYNTHIANA, KY 41031-5891
(606) 356-4559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005170
KY
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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