Individual
HEATHER T MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1775 ALYSHEBA WAY STE 10, LEXINGTON, KY 40509-2479
(859) 260-4540
Mailing address
5200 COMMERCE CROSSING 3RD FL, LOUISVILLE, KY 40229
(502) 861-5278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004792
KY
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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