Organization
AQUILO SPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN-PAUL SPENCE (VP SALES & MARKETING)
(502) 523-0378
Entity
Organization
Contact information
Practice address
620 S 3RD ST STE 205, LOUISVILLE, KY 40202-2448
(502) 523-0378
Mailing address
620 S 3RD ST STE 205, LOUISVILLE, KY 40202-2448
(502) 523-0378
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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