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Individual

JONATHAN CRISWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1 S CREEK DR STE 116, MONTICELLO, KY 42633-9472
(606) 348-3314
Mailing address
1 S CREEK DR STE 116, MONTICELLO, KY 42633-9472
(606) 348-3314

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8572
KY

Other

Enumeration date
06/13/2022
Last updated
08/19/2022
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