Individual
JESSICA HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4130 DUTCHMANS LN STE 101, LOUISVILLE, KY 40207-4708
(502) 897-1794
(502) 897-3852
Mailing address
4130 DUTCHMANS LN STE 101, LOUISVILLE, KY 40207-4708
(502) 897-1794
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006357
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300057313
—
IN
05
—
7100978230
—
KY
Enumeration date
11/29/2021
Last updated
05/19/2025
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