NPI 1215333901
Self
Practice location
- Address
- 410 Jason Dr, Richmond, KY 40475-2291
- Phone
- (270) 775-2790
Authorised official
- Name
- Jessica Renee Bickwermert
- Title
- Physical Therapist
- Phone
- (270) 775-2790
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1215333901
- Entity type
- Organization
- NPI issued
- 7 Nov 2014
- Record last updated
- 7 Nov 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.