Individual
SYDNEY RAQUEL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 COLLEGE ST, BARBOURVILLE, KY 40906-1410
(606) 546-4151
Mailing address
310 COLLEGE ST, BARBOURVILLE, KY 40906-1410
(606) 546-4151
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1486
KY
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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