Timothy P Amshoff, LAT
Specialist/Technologist, Athletic Trainer in Louisville, KY. Individual provider (NPI-1).
NPI number1912024753
StatusActive
Last updated in NPPESJul 23, 2020
Details
- NPI
- 1912024753
- Entity type
- Individual (NPI-1)
- Name
- Mr. Timothy P Amshoff
- Credential
- LAT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2007
- Certification date
- Jul 23, 2020
- Last updated
- Jul 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 445 | KY | Yes |
Practice location
1227 Gilmore LnLouisville, KY 40213-2307
Phone 502-915-9518
Mailing address
4311 Pleasant Glen DrLouisville, KY 40299-7011
Phone 502-619-0740 · Fax 502-485-8009
Other practice locations
4311 Pleasant Glen Dr
Louisville, KY 40299-7011
Louisville, KY 40299-7011
Phone 502-619-0740
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