Individual
MARIA CATHERINE BACKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1111 RING RD, ELIZABETHTOWN, KY 42701-4900
(270) 734-3145
Mailing address
1004 DAVID CT APT A, ELIZABETHTOWN, KY 42701-2094
(270) 734-3145
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/20/2015
Last updated
05/12/2016
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