Individual
MS. CHERYL JEAN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, MS, NSCA-PT
Contact information
Practice address
1001 CHERRY BLOSSOM WAY, GEORGETOWN, KY 40324-5700
(502) 868-2944
(502) 868-2639
Mailing address
114 COPPERFIELD LN, GEORGETOWN, KY 40324-1099
(502) 868-1096
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT478
KY
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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