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NPI Code Detail

MEDICARE: KARIANNA ROSE APPLEGATE PTA

MEDICARE: KARIANNA ROSE APPLEGATE PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantA01966KY

General Provider Information

NPI Number : 1649515586
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARIANNA ROSE APPLEGATE PTA
Provider Business Mailing Address
First Line : 201 KIMBERLY LN
Second Line :
City : WILLIAMSTOWN
State : KY
Zip : 41097-9458
Country : US
Telephone Number : 859-824-7803
Fax Number :
Provider Business Practice Location Address
First Line : 201 KIMBERLY LN
Second Line :
City : WILLIAMSTOWN
State : KY
Zip : 41097-9458
Country : US
Telephone Number : 859-824-7803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2012
Last Update Date : 12/04/2012

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Directions to “ KARIANNA ROSE APPLEGATE PTA” Practice Location

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