MISS Jade Alisha Hall, PTA

NPI #1912166505 in Benton, Kentucky

Provider Information

NPI Number: 1912166505
Entity Type: Individual
Name: MISS Jade Alisha Hall, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 9, 2008
Last Updated: Jun 9, 2008

Practice Location

Address: 2607 MAIN STREET
City: Benton
State: Kentucky
ZIP Code: 42025
Phone: (270) 527-0147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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