Miranda Ellen Ingram
Physical Therapy Assistant
2117 Rocky Dr
Paris
, Kentucky 40361-1370
Miranda Ellen Ingram
Physical Therapy Assistant
2117 Rocky Dr
Paris
, Kentucky 40361-1370
(859) 435-5325
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Miranda Ellen Ingram
- 123 Westridge Ln
- Paris, KY
- Zip : 40361-2483
- Phone : (859) 435-5325
Second Address
- Miranda Ellen Ingram
- 2117 Rocky Dr
- Paris, KY
- Zip : 40361-1370
- Phone : (859) 988-5005
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | A04124 | KY |
National Provider Identifier
| NPI | 1013597491 |
|---|---|
| Provider Name | Miranda Ellen Ingram |
| First Address | Paris, KY 40361-2483 |
| Second Address | Paris, KY 40361-1370 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2021 |
| Last Update Date | 10/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.