KIYOMASA KOMATSU

COLUMBIA, KY
NPI1497237861
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY  2000031780)
Enumeration Date2018-09-03
Last Update Date2018-09-03
Business Address
KIYOMASA KOMATSU MS, ATC
210 LINDSEY WILSON ST
COLUMBIA, KY 42728-1223
Phone number: 270-634-2519
Mailing Address
KIYOMASA KOMATSU MS, ATC
210 LINDSEY WILSON ST
COLUMBIA, KY 42728-1223
Phone number: 270-634-2519