Individual
KRYSTAL GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2432 S FLOYD ST, LOUISVILLE, KY 40209-1805
(502) 852-2762
Mailing address
14802 GARDENHILL DR, LA MIRADA, CA 90638-3017
(562) 355-4829
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1163
KY
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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