Individual
MRS. AUDREY STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2901 BARDSTOWN RD, LOUISVILLE, KY 40205-3017
(502) 459-6307
Mailing address
1805 BUNKER HILL CT, LOUISVILLE, KY 40205-2704
(502) 938-5167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005335
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-005335
LICENSE NUMBER
KY
Enumeration date
08/29/2006
Last updated
03/21/2025
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