Individual
MR. JASON MATTHEW CARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC, CSCS
Contact information
Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1653
(270) 824-2000
(270) 821-8761
Mailing address
849 CHICKASAW DR, MADISONVILLE, KY 42431-8631
(270) 339-3670
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT332
KY
Other
Enumeration date
04/23/2007
Last updated
06/03/2009
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