Individual
CHRISTINE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
616 BIG BEAR LN, LEXINGTON, KY 40517-2054
(541) 908-0354
Mailing address
616 BIG BEAR LN, LEXINGTON, KY 40517-2054
(541) 908-0354
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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