Individual
CASEY BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
115 S SALEM DR, BARDSTOWN, KY 40004-1762
(502) 331-5478
Mailing address
115 S SALEM DR, BARDSTOWN, KY 40004-1762
(502) 331-5478
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007166
KY
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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