Individual
SIDNEY AVAN RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
315 W 5TH ST STE 200, BENTON, KY 42025-1152
(270) 252-7200
(270) 252-7201
Mailing address
1489 OAK LEVEL RD, BENTON, KY 42025-5354
(270) 205-0313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009233
KY
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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