Individual
KANISSA E. HILDRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
102 W MAPLE ST, SCOTTSVILLE, KY 42164-1134
(270) 745-0987
(270) 745-0986
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 745-1100
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008173
KY
Other
Enumeration date
11/18/2020
Last updated
09/13/2023
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