Individual
BONNY Y FOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
982 EASTERN PKY, LOUISVILLE, KY 40217-1501
(502) 635-6397
(502) 635-1147
Mailing address
10209 RADFORD RD, LOUISVILLE, KY 40223
(502) 253-9710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002517
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000068112
ANTHEM
—
Enumeration date
11/20/2006
Last updated
07/08/2007
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