Individual
PHILIP JACOB JANUTOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
310 COLLEGE ST, BOX D22, BARBOURVILLE, KY 40906-1410
(606) 546-1697
Mailing address
310 COLLEGE ST, BOX D22, BARBOURVILLE, KY 40906-1410
(606) 546-1697
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1313
KY
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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