Individual
BRIAN KETTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2025 CORPORATE DR STE 2, RICHMOND, KY 40475
(859) 625-9874
Mailing address
2025 CORPORATE DR STE 2, RICHMOND, KY 40475-6535
(859) 625-9874
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03829
KY
Other
Enumeration date
07/19/2018
Last updated
03/02/2019
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