Individual
MRS. MARCY S GAGNON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
370 HIGHLAND PARK DR, STE 1, RICHMOND, KY 40475-3546
(859) 625-9700
(859) 625-1555
Mailing address
370 HIGHLAND PARK DR, STE 1, RICHMOND, KY 40475-3546
(859) 625-9700
(859) 625-1555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02303
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000052194
BLUE CROSS
KY
01
—
1162361
CHA HEALTH
KY
Enumeration date
07/08/2005
Last updated
07/08/2007
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