GRACE ELAINE PUCKETT

MURRAY, KY
NPI1013124775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  A01203)
Enumeration Date2007-05-16
Last Update Date2007-07-08
Business Address
Mrs. GRACE ELAINE PUCKETT PTA
716 POPLAR ST
MURRAY, KY 42071-2546
Phone number: 270-762-1854
Mailing Address
Mrs. GRACE ELAINE PUCKETT PTA
5163 AIRPORT RD
ALMO, KY 42020-9203
Phone number: 270-293-2610