Individual
BROOK LEE REICHMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5120 DIXIE HWY STE 102, LOUISVILLE, KY 40216-1775
(502) 448-0931
(502) 448-0918
Mailing address
5120 DIXIE HWY STE 102, LOUISVILLE, KY 40216-1775
(502) 448-0931
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT567
KY
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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