TIMOTHY ALLEN TOMMERUP

LEXINGTON, KY
NPI1679521611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY  AT624)
Enumeration Date2006-05-04
Last Update Date2007-07-08
Business Address
Mr. TIMOTHY ALLEN TOMMERUP MS, ATC
300 N BROADWAY
LEXINGTON, KY 40508-1797
Phone number: 859-233-8850
Mailing Address
Mr. TIMOTHY ALLEN TOMMERUP MS, ATC
491 STRATFORD DR
LEXINGTON, KY 40503-1814
Phone number: 859-373-0489