Individual provider · NPI-1

Audrey Marie Baricovich, ATC, LAT

Specialist/Technologist, Athletic Trainer · Louisville, KY

NPI number1346767670
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1346767670
Entity type
Individual (NPI-1)
Name
Audrey Marie Baricovich
Credential
ATC, LAT
Sex
Female
Sole proprietor
No
Enumeration date
Aug 28, 2017
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAT1253KYYes

Practice location

616 Executive Park
Louisville, KY 40207-4206

Phone 502-896-9355

Mailing address

2224 Lauderdale Rd Apt 4
Louisville, KY 40205-1659

Other practice locations

4011 Shelbyville Rd
St Matthews, KY 40207-3122

Phone 502-893-7625

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