Individual
MR. JUSTIN BLAKE BRASHEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
(606) 218-5359
Mailing address
14 BIG ROCK LN, HAZARD, KY 41701-7728
(606) 233-3652
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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