Individual
AMANDA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9700 STONESTREET RD, LOUISVILLE, KY 40272-2884
(502) 995-2415
Mailing address
9700 STONESTREET RD, LOUISVILLE, KY 40272-2884
(502) 995-2415
(502) 995-2483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005399
KY
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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