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Individual

NATHAN JOE ADDINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
200 NURSING HOME LN, PIKEVILLE, KY 41501-6896
(606) 639-0163
Mailing address
1421 HIGHWAY 3406, MAYKING, KY 41837-9014
(606) 633-0491

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02337
KY

Other

Enumeration date
01/19/2012
Last updated
01/19/2012
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