Individual
MRS. KELLY MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
227 BROWNS LN, LOUISVILLE, KY 40207-3215
(502) 893-2595
(502) 893-1811
Mailing address
3607 LOCKLEE RD, LOUISVILLE, KY 40214-3830
(502) 295-1471
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01365
KY
Other
Enumeration date
11/18/2020
Last updated
12/10/2020
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