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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619974508 NPPES
Kentucky Other 000000578073 BLUE CROSS BLUE SHIELD

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