Grizzard, Amy Gabrielle
Grizzard, Amy Gabrielle is an individual health care provider with primary practice located at 5050B Village Square Dr , Paducah KY 42001-9499. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Grizzard, Amy Gabrielle can be contacted via phone (270) 443-0681.Contact Information
Primary practice address
5050B Village Square Dr
Paducah KY 42001-9499
Phone: (270) 443-0681
Fax: (270) 442-9748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 003235 | Kentucky |
Profile Details
| NPI number | 1619974508 |
|---|---|
| LBN Legal business name | Grizzard, Amy Gabrielle |
| Credentials | PHYSICAL THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Mar 4th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619974508 | NPPES |
| Kentucky | Other | 000000578073 | BLUE CROSS BLUE SHIELD |
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