Individual
JOHNNIE DANIELLE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11840 COMMONWEALTH DR, LOUISVILLE, KY 40299-2309
(502) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008306
KY
225100000X
Physical Therapist
TP2021059
KY
Other
Enumeration date
05/12/2021
Last updated
09/16/2021
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