Provider Demographics
NPI:1316252034
Name:MARPLE, JILL (PT)
Entity type:Individual
Prefix:MS
First Name:JILL
Middle Name:
Last Name:MARPLE
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 1:975 RIVER BEND RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-6314
Mailing Address - Country:US
Mailing Address - Phone:502-223-7218
Mailing Address - Fax:502-223-5177
Practice Address - Street 1:975 RIVER BEND RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-6314
Practice Address - Country:US
Practice Address - Phone:502-223-7218
Practice Address - Fax:502-223-5177
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY003896225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist