NPI 1396718177

Eric David Frederick, MSATCLAT

Practitioner Athletic Trainer Murray, KY

Practice location

Address: Murray State University 217 Stewart Stadium, Murray, KY 42071-3351
Phone: (270) 809-5580
Fax: (270) 809-5526
Mailing address: 1571 Mockingbird Dr, Murray, KY 42071-3281

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT212 (KY)

Other Specialist/Technologist providers in Kentucky →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT1308 (TX)

Registry record

NPI: 1396718177
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Feb 2006
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.