Individual
JEREMY WILLIAM DOCKTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2800 S FLOYD ST, LOUISVILLE, KY 40209-1818
(502) 852-7122
Mailing address
2800 S FLOYD ST, LOUISVILLE, KY 40209-1818
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1477
KY
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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