Individual
MARTIN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 FREDERICA ST, OWENSBORO, KY 42301-6057
(270) 852-3505
Mailing address
3000 FREDERICA ST, OWENSBORO, KY 42301-6057
(567) 230-2664
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT99
KY
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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