Individual
MR. WILLIAM ROGER CUBBAGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4011 SHELBYVILLE RD, LOUISVILLE, KY 40207-3122
(502) 736-2169
(717) 412-9573
Mailing address
2911 EXPLORER DR, LOUISVILLE, KY 40218-4705
(502) 456-2529
(502) 899-4175
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT058
KY
Other
Enumeration date
04/18/2006
Last updated
06/17/2015
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