Individual
BRAD BOLTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
830 THOMAS MORE PKWY, SUITE 101, EDGEWOOD, KY 41017-5102
(859) 301-5600
Mailing address
830 THOMAS MORE PKWY, SUITE 101, EDGEWOOD, KY 41017-5102
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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