Individual
CONNIE D HAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, ATC, DPT
Contact information
Practice address
125 S LIBERTY ST, BARBOURVILLE, KY 40906-1437
(606) 546-4985
(606) 546-4965
Mailing address
235 S MAIN ST, BARBOURVILLE, KY 40906-1117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00470
KY
225100000X
Physical Therapist
3818
SC
225100000X
Physical Therapist
7911
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87004701
—
KY
Enumeration date
11/29/2006
Last updated
07/08/2007
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