Individual
EMMA GWYNN CRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6708 WILD FOX LN, PROSPECT, KY 40059-9479
(502) 810-4268
Mailing address
6708 WILD FOX LN, PROSPECT, KY 40059-9479
(502) 810-4268
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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