Stacy Lilly, ATC

NPI #1730629304 in Owenton, Kentucky

Provider Information

NPI Number
1730629304
Entity Type
Individual
Name
Stacy Lilly, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Mar 2, 2017
Last Updated
Mar 2, 2017

Practice Location

Address
113 W ADAIR ST
ZIP Code
40359-3020
Phone
(606) 875-4706

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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