Individual
MICHELLE L WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRTT
Contact information
Practice address
5806 COOPER CHAPEL RD, LOUISVILLE, KY 40229-1312
(502) 964-9569
Mailing address
5806 COOPER CHAPEL RD, LOUISVILLE, KY 40229-1312
(502) 964-9569
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
3219A
KY
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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