MADISON FIELDS PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1962197178- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 1800 WESTEN ST, BOWLING GREEN, KY, 421045843
- Phone
- (270) 746-5502
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: KY #A04173
All Addresses
MAILING
1800 WESTEN ST
BOWLING GREEN, KY, 421045843