Mrs. Grace Elaine Puckett
Physical Therapy Assistant
716 Poplar St
Murray
, Kentucky 42071-2546
Mrs. Grace Elaine Puckett
Physical Therapy Assistant
716 Poplar St
Murray
, Kentucky 42071-2546
(270) 293-2610
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Mrs. Grace Elaine Puckett
- 5163 Airport Rd
- Almo, KY
- Zip : 42020-9203
- Phone : (270) 293-2610
Second Address
- Mrs. Grace Elaine Puckett
- 716 Poplar St
- Murray, KY
- Zip : 42071-2546
- Phone : (270) 762-1854
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | A01203 | KY |
National Provider Identifier
| NPI | 1013124775 |
|---|---|
| Provider Name | Mrs. Grace Elaine Puckett |
| First Address | Almo, KY 42020-9203 |
| Second Address | Murray, KY 42071-2546 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2007 |
| Last Update Date | 08/07/2007 |
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.