Provider Demographics
NPI:1063951598
Name:FRISZ, DONALD J (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:J
Last Name:FRISZ
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 W JONATHAN MOORE PIKE
Mailing Address - Street 2:B-8
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-9585
Mailing Address - Country:US
Mailing Address - Phone:812-378-4182
Mailing Address - Fax:812-378-4194
Practice Address - Street 1:4210 W JONATHAN MOORE PIKE
Practice Address - Street 2:B-8
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-9585
Practice Address - Country:US
Practice Address - Phone:812-378-4182
Practice Address - Fax:812-378-4194
Is Sole Proprietor?:No
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05001369A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist