Individual
MRS. KATHY BLAKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LAT, ATC
Contact information
Practice address
534 HIGHWAY 50, VANDIVER, AL 35176-7210
(205) 672-9570
Mailing address
534 HIGHWAY 50, VANDIVER, AL 35176-7210
(205) 672-9570
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
197
AL
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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