Individual
VICKI D LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
202 TANGLEWOOD DR, MARION, KY 42064-1913
(270) 969-0442
Mailing address
202 TANGLEWOOD DR, MARION, KY 42064-1913
(270) 969-0442
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
000001
DC
225200000X
Physical Therapy Assistant
005420
IL
225200000X
Physical Therapy Assistant
2079983
TX
225200000X
Physical Therapy Assistant
21997
FL
225200000X
Physical Therapy Assistant
2306602498
VA
225200000X
Physical Therapy Assistant
2403
SC
225200000X
Physical Therapy Assistant
9688
CA
225200000X
Physical Therapy Assistant
Primary
A02411
KY
225200000X
Physical Therapy Assistant
A3353
MD
225200000X
Physical Therapy Assistant
TEI002441
PA
Other
Enumeration date
06/12/2008
Last updated
01/21/2014
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