Individual
MR. ERIC DAVID FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
MURRAY STATE UNIVERSITY, 217 STEWART STADIUM, MURRAY, KY 42071-3351
(270) 809-5580
(270) 809-5526
Mailing address
1571 MOCKINGBIRD DR, MURRAY, KY 42071-3281
(270) 753-3253
(270) 809-5526
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT1308
TX
2255A2300X
Athletic Trainer
Primary
AT212
KY
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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