Individual
KRISTEN FREDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
389 PRESTONSBURG ST, WEST LIBERTY, KY 41472-1137
(606) 743-3608
Mailing address
154 OWENS RD S # 111, CLEARFIELD, KY 40313-9654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008431
KY
225100000X
Physical Therapist
TP2021081
KY
Other
Enumeration date
09/08/2021
Last updated
02/22/2023
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