Individual
ANDREA DISTLER LAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008055
KY
225100000X
Physical Therapist
Primary
05015556A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008055
KY PT LICENSE
KY
Enumeration date
06/08/2020
Last updated
03/18/2025
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