Individual
ALEX LAROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
526 EASTERN BYP, RICHMOND, KY 40475-2328
(859) 623-4567
Mailing address
108 MADISON HILLS BLVD, RICHMOND, KY 40475-8103
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT561
KY
Other
Enumeration date
06/19/2006
Last updated
07/08/2007
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