MR. Joseph Hacker III, ATC, MED, CSCS
NPI #1376993204 in Independence, Kentucky
Provider Information
- NPI Number
- 1376993204
- Entity Type
- Individual
- Name
- MR. Joseph Hacker III, ATC, MED, CSCS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, MED, CSCS
- Enumeration Date
- Jun 22, 2016
- Last Updated
- Jun 22, 2016
Practice Location
- Address
- 1918 DECLARATION DR
- City
- Independence
- State
- Kentucky
- ZIP Code
- 41051-7931
- Phone
- (859) 356-0179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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