Individual
KIM FRASSINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1561 NEWTON AVE, BOWLING GREEN, KY 42104-3238
(270) 842-1611
Mailing address
2504 LAURELSTONE LN, BOWLING GREEN, KY 42104-4738
(270) 842-4633
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A00805
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185224
—
KY
Enumeration date
06/29/2007
Last updated
07/08/2007
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