NPI 1275664153

Micheal Ray Gaddie, MSATC

Practitioner Athletic Trainer Bowling Green, KY

Practice location

Address: 1906 College Heights Blvd, Bowling Green, KY 42101-1000
Phone: (270) 745-5317
Mailing address: 592 Farmer Ln, Bowling Green, KY 42104-8546

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT218 (KY)

Other Specialist/Technologist providers in Kentucky →

Registry record

NPI: 1275664153
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Mar 2007
Record last updated: 8 Jul 2007

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.