Individual
MICHELLE IRENE EXE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6008 BROWNSBORO PARK BLVD STE C, LOUISVILLE, KY 40207-1295
(502) 899-4760
(502) 899-4719
Mailing address
6008 BROWNSBORO PARK BLVD STE C, LOUISVILLE, KY 40207-1295
(502) 899-4760
(502) 899-4719
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A04286
KY
Other
Enumeration date
07/30/2021
Last updated
02/10/2025
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