Individual
MR. GENARO GERRY GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
250 S MARTIN LUTHER KING BLVD APT 113, LEXINGTON, KY 40508-2695
(859) 257-6189
Mailing address
250 S MARTIN LUTHER KING BLVD APT 113, LEXINGTON, KY 40508-2695
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT693
KY
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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