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Individual

ANDRIA LINN MERRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
1700 ENVOY CIR, LOUISVILLE, KY 40299-1822
(607) 794-8946
Mailing address
201 KRATZ LN, LOUISVILLE, KY 40243-1407
(607) 794-8946

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
004221-01
NY
2255A2300X
Athletic Trainer
36003847A
IN
2255A2300X
Athletic Trainer
Primary
AT2147
KY

Other

Enumeration date
01/16/2024
Last updated
01/16/2024
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