Individual
HEATHER RENEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
168 LOCUST GROVE RD, CARLISLE, KY 40311-9125
(859) 473-0180
Mailing address
168 LOCUST GROVE RD, CARLISLE, KY 40311-9125
(859) 473-0180
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02410
KY
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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