Individual
KRISTINA RENEE TUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 GARDEN CT, ASHLAND, KY 41101-5147
(606) 831-5747
Mailing address
4240 GARTIN AVE, ASHLAND, KY 41101-6247
(606) 831-5747
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
200003172
KY
Other
Enumeration date
07/18/2009
Last updated
01/30/2020
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