Healthcare Provider Details

I. General information

NPI: 1598273443
Provider Name (Legal Business Name): ARIEL ALLMAN MS, ATC, LAT, CSCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2018
Last Update Date: 01/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 E STEPHENS ST
MIDWAY KY
40347-1112
US

IV. Provider business mailing address

3900 CROSBY DR APT 920
LEXINGTON KY
40515-1803
US

V. Phone/Fax

Practice location:
  • Phone: 859-846-5806
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number1250
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: