Individual
YURIY CHULSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4202 E FOWLER AVE STOP ATH100, TAMPA, FL 33620-8455
(813) 974-6794
(813) 974-6794
Mailing address
4202 E FOWLER AVE STOP ATH100, TAMPA, FL 33620-8455
(813) 974-6794
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2936
FL
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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