Most Relevant Information
Provider Data
| NPI Number: | 1003062357 |
| Provider Name: | ELISE KEARNS WATSON PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 004930 |
Most Important Dates
| Enumeration Date: | 08/18/2008 |
| Last Updated: | 08/18/2008 |
Provider Practice Location
107 CREEKROCK CIR
NICHOLASVILLE
KY
403568037
Practice Location Phone/Fax
| Phone: | 8594012941 |
| Fax: | 4803232104 |
Provider Mailing Location
107 CREEKROCK CIR
NICHOLASVILLE
KY
403568037
Provider Mailing Phone/Fax
| Phone: | 8594012941 |
| Fax: | 4803232104 |