AMANDA REBECCA ELLISON

LOUISVILLE, KY
NPI1881186575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  007455)
Enumeration Date2018-05-30
Last Update Date2019-04-09
Business Address
AMANDA REBECCA ELLISON DPT
10321 CHAMPION FARMS DR
LOUISVILLE, KY 40241-6129
Phone number: 502-425-1716
Mailing Address
AMANDA REBECCA ELLISON DPT
PO BOX 22184
LOUISVILLE, KY 40252-0184
Phone number: 502-425-1716
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