Individual
JACLYN GRACE BUMPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
420 CHARLESTON DR STE A, RIPLEY, WV 25271-1714
(304) 373-0093
(304) 372-5764
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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