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Individual

MENDI L SKEETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
285 DUGOUT DR, VINE GROVE, KY 40175-8616
(270) 828-6218
Mailing address
285 DUGOUT DR, VINE GROVE, KY 40175-8616
(270) 828-6218

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02281
KY

Other

Enumeration date
08/05/2008
Last updated
08/05/2008
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