| Kristen Fredricks, DPT | |
|
389 Prestonsburg St, West Liberty, KY 41472-1137 | |
| (606) 743-3608 | |
| Not Available |
| Full Name | Kristen Fredricks |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 389 Prestonsburg St, West Liberty, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235808882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | TP2021081 (Kentucky) | Secondary |
| 225100000X | Physical Therapist | 008431 (Kentucky) | Primary |
| Provider Name | Ckw Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629263322 PECOS PAC ID: 1951399773 Enrollment ID: O20040503000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Fredricks, DPT 154 Owens Rd S # 111, Clearfield, KY 40313-9654 Ph: () - | Kristen Fredricks, DPT 389 Prestonsburg St, West Liberty, KY 41472-1137 Ph: (606) 743-3608 |
Ckw Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 389 Prestonsburg St, West Liberty, KY 41472 Phone: 606-743-3608 Fax: 606-743-3631 | |
Mrs. Brandi N Collins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 476 Liberty Rd, West Liberty, KY 41472 Phone: 606-743-3186 Fax: 606-743-1693 | |
Stacy Lynn Ritchie, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 389 Prestonsburg St, West Liberty, KY 41472 Phone: 606-743-3608 Fax: 606-743-3631 | |
Monica Gibbs Whitt, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 774 Liberty Rd, West Liberty, KY 41472 Phone: 606-743-3846 | |
Brook Harper-luke, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 774 Liberty Rd, West Liberty, KY 41472 Phone: 606-743-3846 |