Individual
ALEXANDER LEE GADDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
139 PEARL ST, AUBURN, KY 42206-5121
(270) 542-4111
Mailing address
424 LONGVIEW DR, FRANKLIN, KY 42134-1560
(270) 218-1300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03965
KY
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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