Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Self

Organization Physical Therapist · NPI 1215333901

Self is a Physical Therapist in Richmond, Kentucky. Licensed in Kentucky. Registered with an NPI since 2014.

Licensed in
KY
In the registry since
2014

Practice location Address checks out

410 Jason Dr
Richmond, KY 40475-2291
Phone: (270) 775-2790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 006497 (KY)

Record details

NPI number1215333901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Bickwermert — Physical Therapist · (270) 775-2790
NPI enumeratedNovember 7, 2014
Last updated in NPPESNovember 7, 2014
Mailing address410 Jason Dr, Richmond, KY 40475-2291

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