Individual
JEREMY DUSTIN WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MS
Contact information
Practice address
127 ALBEN BARKLEY DR, SUITE C, PADUCAH, KY 42001-4402
(270) 908-0294
(270) 908-0296
Mailing address
PO BOX 1025, MAYFIELD, KY 42066-0041
(270) 908-0294
(270) 908-0296
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005283
KY
Other
Enumeration date
06/26/2008
Last updated
12/19/2013
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