Individual
MARIAH ELLEN STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CHESTNUT ST, BEREA, KY 40403-1516
(859) 985-4156
Mailing address
814 RIDGEWOOD DR # 2, BEREA, KY 40403-9814
(509) 481-0751
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
11/27/2023
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