Individual
AUDRA HARP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
127 RIVERSIDE DR, CYNTHIANA, KY 41031-3801
(859) 234-2600
Mailing address
212 WAYNE DR, RICHMOND, KY 40475-2337
(859) 625-0001
(859) 625-1108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004158
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000308752
BC FOR PARIS
KY
01
—
000000327215
BC FOR TWIN FORKS
KY
01
—
000000369698
BC FOR HARRISON
KY
01
—
611208897-009
FOR HARRISON
KY
05
—
8700125
—
KY
Enumeration date
11/02/2005
Last updated
07/08/2007
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