Individual
REBECCA RENE DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
1605 AVE OF CHAMPIONS, ROOM 1820 DIDDLE ARENA, BOWLING GREEN, KY 42101
(270) 745-3743
(270) 745-3409
Mailing address
160 COACHMAN CT APT D, BOWLING GREEN, KY 42103-8576
(719) 252-4235
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TCA011
KY
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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