Provider Demographics
NPI:1508009853
Name:GUENTHER, JILL A (PT, OCS, CHT)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:A
Last Name:GUENTHER
Suffix:
Gender:F
Credentials:PT, OCS, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6375 DELANEY FERRY EXT
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-8599
Mailing Address - Country:US
Mailing Address - Phone:859-879-9301
Mailing Address - Fax:859-323-4326
Practice Address - Street 1:535 MARSAILLES DR
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-1911
Practice Address - Country:US
Practice Address - Phone:859-879-3560
Practice Address - Fax:859-879-3564
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0021032251H1200X
2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic