DESTINY EASLEY
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation, Sports Medicine
Provider Information
- NPI Number
1023854858- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3617 CHURCH ST, COVINGTON, KY, 410151430
- Phone
- (859) 206-7805
Specialties & Taxonomies
Physical Medicine & Rehabilitation, Sports Medicine
Primary License: KY #TCA034
All Addresses
MAILING
3617 CHURCH ST
COVINGTON, KY, 410151430