Provider Demographics
NPI:1881825487
Name:ADKINS, ADRIENNE S (PT)
Entity Type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:S
Last Name:ADKINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6003 PLEASANT COLONY CT
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-8678
Mailing Address - Country:US
Mailing Address - Phone:502-241-5597
Mailing Address - Fax:502-241-6499
Practice Address - Street 1:6003 PLEASANT COLONY CT
Practice Address - Street 2:SUITE 3
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-8678
Practice Address - Country:US
Practice Address - Phone:502-241-5597
Practice Address - Fax:502-241-6499
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004339225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist