Miranda Ellen Ingram, PTA

NPI #1013597491 in Paris, Kentucky

Provider Information

NPI Number: 1013597491
Entity Type: Individual
Name: Miranda Ellen Ingram, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 10, 2021
Last Updated: Apr 10, 2021

Practice Location

Address: 2117 ROCKY DR
City: Paris
State: Kentucky
ZIP Code: 40361-1370
Phone: (859) 988-5005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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