Individual
AUDREY FRIZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
227 S MAIN ST, BEAVER DAM, KY 42320-2131
(270) 274-9221
(270) 955-2003
Mailing address
PO BOX 445, HARTFORD, KY 42347-0445
(270) 274-9221
(270) 955-2003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008004
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008004
LICENSE
KY
Enumeration date
08/06/2020
Last updated
08/06/2020
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