Individual
MISS SARA FRACASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
13151 MAGISTERIAL DR, STE. 200, LOUISVILLE, KY 40223-4103
(502) 587-1236
Mailing address
13151 MAGISTERIAL DR, STE. 200, LOUISVILLE, KY 40223-4103
(502) 587-1236
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT763
KY
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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