Individual
DERIC PARRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
708 WESTPORT RD, SUITE 202, ELIZABETHTOWN, KY 42701-3819
(270) 765-4263
Mailing address
708 WESTPORT RD, SUITE 202, ELIZABETHTOWN, KY 42701-3819
(270) 765-4263
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005999
KY
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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