Bridgett Wells, PTA

Individual provider Active NPI Physical Therapy Assistant · West Liberty, KY

NPI 1508167156 · NPPES record last updated Nov 14, 2010

Key facts

NPI
1508167156
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A02560 (KY)
Practice address
198 Revis Rd
West Liberty, KY 41472-7819
Phone
(606) 776-7315
Fax
(606) 743-4470
NPI assigned
Nov 14, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A02560KYMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A02560 KY Yes

Addresses

Primary practice location

198 Revis Rd
West Liberty, KY 41472-7819

Mailing address

198 Revis Rd
West Liberty, KY 41472-7819

Other providers in West Liberty, KY

All providers in West Liberty, KY · Physical Therapy Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.