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General NPI Number Information
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NPI Number | 1457284341
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Entity Type | Individual
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Provider Name | RUTH VELLISA HENSLEY
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Gender | Female
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 2734 S HIGHWAY 421
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City | MANCHESTER
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State | KY
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Zip | 40962-7515
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Country | US
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Telephone | 606-598-4506
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Fax | 606-596-0254
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Provider Business Mailing Address
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Address Line | 330 HILLARD RD
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City | CORBIN
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State | KY
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Zip | 40701-4332
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Country | US
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Telephone | 606-312-2690
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | A03202
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License Number State | KY
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