Individual
MR. TIMOTHY JOSEPH WAUGH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
110 HILLTOP AVE, LEXINGTON, KY 40506-4710
(859) 257-9000
Mailing address
204 PROVIDENCE HILL DR APT 189, ASHLAND, KY 41101-2295
(513) 393-1417
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
08/26/2025
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