Individual
BRIAN EIGELBACH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
4102 OLD HEADY RD, LOUISVILLE, KY 40299-4314
(502) 693-4258
Mailing address
4102 OLD HEADY RD, LOUISVILLE, KY 40299-4314
(502) 693-4258
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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