Individual
ZACKERY ALAN MAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2586 HICKORYVALE DR, NEW ALBANY, IN 47150-6936
(270) 570-4617
Mailing address
2586 HICKORYVALE DR, NEW ALBANY, IN 47150-6936
(270) 570-4617
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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