Individual
MRS. REBECCA LYNNE CRAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT
Contact information
Practice address
526 INDIAN DR, COLUMBIA, KY 42728-1833
(270) 634-0878
Mailing address
73 MOSELEY DR, COLUMBIA, KY 42728-2111
(270) 634-0878
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT861
KY
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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