ERIC DAVID FREDERICK

MURRAY, KY
NPI1396718177
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY  AT212)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT1308)
Enumeration Date2006-02-10
Last Update Date2007-07-08
Business Address
Mr. ERIC DAVID FREDERICK MS, ATC, LAT
MURRAY STATE UNIVERSITY 217 STEWART STADIUM
MURRAY, KY 42071-3351
Phone number: 270-809-5580
Mailing Address
Mr. ERIC DAVID FREDERICK MS, ATC, LAT
1571 MOCKINGBIRD DR
MURRAY, KY 42071-3281
Phone number: 270-753-3253