Jessica Lawanda Whitehead, PT

NPI #1326513185 in Hyden, Kentucky

Provider Information

NPI Number: 1326513185
Entity Type: Individual
Name: Jessica Lawanda Whitehead, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 9, 2018
Last Updated: Oct 9, 2018

Practice Location

Address: 21937 MAIN ST
City: Hyden
State: Kentucky
ZIP Code: 41749
Phone: (606) 672-6683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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