Jessica Lynn Countryman, PTA

NPI #1639668809 in Somerset, Kentucky

Provider Information

NPI Number: 1639668809
Entity Type: Individual
Name: Jessica Lynn Countryman, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 3, 2018
Last Updated: May 3, 2018

Practice Location

Address: 105 COLLEGE ST
City: Somerset
State: Kentucky
ZIP Code: 42501-1307
Phone: (606) 677-2636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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