Doctor Name: | MRS. AMY GABRIELLE GRIZZARD |
NPI Number: | 1619974508 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | 003235 |
Business Practice Address: | 5050b Village Square Dr Paducah, KY - 420019499 |
Business Phone Number: | 2704430681 |
Business Fax Number: | 2704429748 |
Mailing Address: | 74 Mohawk Ln, BENTON |
State: | KY |
Postal Code: | 420256948 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 03/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 003235 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |