NATHAN BLACK

BIRMINGHAM, AL
NPI1295392629
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL  2612)
Enumeration Date2019-05-21
Last Update Date2023-01-05
Business Address
NATHAN BLACK MAT, LAT, ATC
800 LAKESHORE DR
BIRMINGHAM, AL 35229-0001
Phone number: 478-254-3656
Mailing Address
NATHAN BLACK MAT, LAT, ATC
800 LAKESHORE DR
BIRMINGHAM, AL 35229-0001
Phone number:
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