NPI 1043756711

Clarence D Repka, BSATLAT

Practitioner Athletic Trainer Florence, KY

Practice location

Address: 68 Cavalier Blvd Suite Number 1700, Florence, KY 41042-1645
Phone: (859) 283-0707
Fax: (859) 647-3022

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT137 (KY)

Other Specialist/Technologist providers in Kentucky →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT003583 (OH)

Registry record

NPI: 1043756711
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jan 2017
Record last updated: 18 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.