NPI 1134654379

Jared Estridge

Practitioner Athletic Trainer Georgetown, KY

Practice location

Address: 1001 Cherry Blossom Way, Georgetown, KY 40324-9564
Phone: (502) 868-1000
Mailing address: 113 Collins Path APT 6, Georgetown, KY 40324-8458

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Kentucky →

Registry record

NPI: 1134654379
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2017
Record last updated: 25 Apr 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.