Individual
MICHAEL JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
5065 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-7897
(270) 842-3627
Mailing address
165 NATCHEZ TRACE AVE STE 200, BOWLING GREEN, KY 42103-7947
(270) 796-4698
(270) 782-3274
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1491
KY
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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