Individual
SAMYRA SAFRAOUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
521 LANCASTER AVE, MOBERLY BUILDING - ATHLETIC TRAINING, RICHMOND, KY 40475-3100
(859) 622-2140
(859) 622-8857
Mailing address
521 LANCASTER AVE, MOBERLY BUILDING - ATHLETIC TRAINING, RICHMOND, KY 40475-3100
(859) 622-2140
(859) 622-8857
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1034
KY
Other
Enumeration date
12/07/2013
Last updated
12/07/2013
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