Individual
BRYANNA JEPSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8800 SMYRNA PKWY, LOUISVILLE, KY 40228-2364
(502) 694-2956
Mailing address
4017 BALLARD WOODS DR, SMITHFIELD, KY 40068-9324
(502) 718-3670
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A04310
KY
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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