Individual
TWILA MASSENGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 HIGH ST, MONTICELLO, KY 42633-1213
(606) 307-3307
Mailing address
509 MOUNTAINSIDE RD, MONTICELLO, KY 42633
(606) 307-3307
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0481
KY
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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