Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | TP2020059 | KY |
NPI | 1003421298 |
---|---|
Provider Name | Whitney Jo Ressett |
First Address | Lexington, KY 40509-2730 |
Second Address | Lexington, KY 40509-2730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2020 |
Last Update Date | 14/09/2020 |