Individual
PIERO MARTIN THOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
801 EDITH RD, LOUISVILLE, KY 40206-2280
(270) 709-2497
Mailing address
225 CRYSTAL VIEW CT, MOUNT WASHINGTON, KY 40047-6498
(270) 709-2497
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2030
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2021
Last updated
07/19/2023
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