Whalio Doctors

NPI 1013124775

Grace Elaine Puckett, PTA

Practitioner Physical Therapy Assistant Murray, KY

Practice location

Address
716 Poplar St, Murray, KY 42071-2546
Phone
(270) 762-1854
Mailing address
5163 Airport Rd, Almo, KY 42020-9203

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A01203 (KY)

Registry record

NPI
1013124775
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 May 2007
Record last updated
8 Jul 2007

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.