Individual
THOMAS BROSSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
830 THOMAS MORE PKWY, SUITE 101, EDGEWOOD, KY 41017-5102
(859) 631-5600
Mailing address
830 THOMAS MORE PKWY, SUITE 101, EDGEWOOD, KY 41017-5102
(859) 631-5600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1193
KY
Other
Enumeration date
07/01/2016
Last updated
07/07/2016
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