Individual
JEFFREY W WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1010 MONARCH ST, SUITE 150, LEXINGTON, KY 40513-1497
(859) 219-0211
(859) 219-0241
Mailing address
1010 MONARCH ST, SUITE 150, LEXINGTON, KY 40513-1497
(859) 219-0211
(859) 219-0241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3720
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000385840
BC/BS
KY
01
—
P400037267
MEDICARE PTAN
KY
Enumeration date
06/01/2006
Last updated
04/24/2013
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