NPI 1376993204

Joseph Hacker, ATCMEDCSCS

Practitioner Athletic Trainer Independence, KY

Practice location

Address: 1918 Declaration Dr, Independence, KY 41051-7931
Phone: (859) 356-0179

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT803 (KY)

Other Specialist/Technologist providers in Kentucky →

Registry record

NPI: 1376993204
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2016
Record last updated: 22 Jun 2016

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.