Individual
HAZEL MARIA FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
411 CENTRAL AVE, SUITE 4, SOUTH WILLIAMSON, KY 41503-4149
(606) 237-0004
(606) 237-0330
Mailing address
411 CENTRAL AVE, SUITE 4, SOUTH WILLIAMSON, KY 41503-4149
(606) 237-0004
(606) 237-0330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
001191
WV
225100000X
Physical Therapist
Primary
003194
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000258542
ANTHEM BC BS
KY
05
—
0158213000
—
WV
Enumeration date
11/30/2006
Last updated
10/17/2007
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