Individual
ALEX ROBERT BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 E COLLEGE ST, GEORGETOWN, KY 40324-1628
(636) 208-1587
Mailing address
400 E COLLEGE ST, GEORGETOWN, KY 40324-1628
(636) 208-1587
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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