Individual
BLAINE A SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
HWY 127 N, OWENTON, OWEN, KY 40359
(502) 484-5721
Mailing address
10318 SOLDIER TRL, INDEPENDENCE, KY 41051-7866
(859) 750-8695
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03897
KY
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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