Whitley Faith Bornhauser, PT

NPI #1164047163 in Grayson, Kentucky

Provider Information

NPI Number: 1164047163
Entity Type: Individual
Name: Whitley Faith Bornhauser, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 15, 2020
Last Updated: Jun 15, 2020

Practice Location

Address: 144 S CAROL MALONE BLVD
City: Grayson
State: Kentucky
ZIP Code: 41143-1352
Phone: (606) 474-7649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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