Individual
JACOB TRAVIS HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2195 HARRODSBURG RD, LEXINGTON, KY 40504-3504
(859) 257-1000
Mailing address
2195 HARRODSBURG RD, LEXINGTON, KY 40504-3504
(859) 257-1000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1488
KY
Other
Enumeration date
02/09/2019
Last updated
02/09/2019
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