Individual
JENNIFER VINCENT WERTZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1608 VERSAILLES RD, LEXINGTON, KY 40504-2402
(859) 252-0871
Mailing address
101 PELICAN WAY, MIDWAY, KY 40347-9603
(859) 312-1582
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004455
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004455
PHYSICAL THERAPY
KY
Enumeration date
05/13/2019
Last updated
05/13/2019
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