Individual
TIM WILLIAM PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
203 MOBERLY BUILDING, 521 LANCASTER AVE, RICHMOND, KY 40475-0284
(859) 622-2147
(859) 622-8857
Mailing address
203 MOBERLY BUILDING, 521 LANCASTER AVE, RICHMOND, KY 40475-0284
(859) 622-2147
(859) 622-8857
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT566
KY
Other
Enumeration date
05/01/2007
Last updated
12/11/2013
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