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1497398697
KRISTIN BURCH JACKSON
LOUISVILLE, KY
NPI
1497398697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: KY 004956)
Enumeration Date
2019-10-21
Last Update Date
2020-12-09
Business Address
KRISTIN BURCH JACKSON PT, DPT, CMTPT
317 WALLACE AVE STE 203
LOUISVILLE, KY 40207-3060
Phone number: 502-209-7677
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Mailing Address
KRISTIN BURCH JACKSON PT, DPT, CMTPT
4710 KITTY HAWK WAY
LOUISVILLE, KY 40207-1753
Phone number: 859-619-2349
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