Provider Demographics
NPI:1447464128
Name:STARZMAN, JILL A (PT)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:A
Last Name:STARZMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 FARMBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-8880
Mailing Address - Country:US
Mailing Address - Phone:502-223-7403
Mailing Address - Fax:502-223-5016
Practice Address - Street 1:124 FARMBROOK CIR
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-8880
Practice Address - Country:US
Practice Address - Phone:502-223-7403
Practice Address - Fax:502-223-5016
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY001529225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000385415OtherANTHEM
KY000000385415OtherANTHEM