MICKENZIE JO CRISWELL

LOUISVILLE, KY
NPI1649510462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OH  08834)
Enumeration Date2013-02-15
Last Update Date2013-02-15
Business Address
-- MICKENZIE JO CRISWELL PTA
303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
Mailing Address
-- MICKENZIE JO CRISWELL PTA
202 N MADISON ST
REPUBLIC, OH 44867-9790
Phone number: 419-618-0295
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