Individual
EMILY ADELE FULKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2525 BARDSTOWN RD STE 108, LOUISVILLE, KY 40205-2680
(502) 537-6166
(502) 537-6167
Mailing address
1705 FLAGSTAFF CT, LOUISVILLE, KY 40223-1151
(502) 649-4110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A04414
KY
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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