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Individual

ASHLEY BIVINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1700 ENVOY CIR, LOUISVILLE, KY 40299-1822
(502) 244-6770
Mailing address
7901 BRIDLEVISTA RD, LOUISVILLE, KY 40228-1689
(502) 424-1539

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TCA146
KY

Other

Enumeration date
05/25/2023
Last updated
05/25/2023
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