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ANDREW KAYLE DRAKE ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1336572684

Individual Registrant:
 ANDREW KAYLE DRAKE ATC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
STATION 14, UWA  LIVINGSTON, AL 35470 US
Tel: 205-652-3714  Fax: --

Contact information for business:
STATION 14, UWA  LIVINGSTON, AL 35470 US
Tel: --  Fax: --

Registration Information:
NPI: 1336572684
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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