Emma Gwynn Crush
Individual provider Active NPI Athletic Trainer · Prospect, KY
NPI 1992398911 · NPPES record last updated Feb 19, 2021
Key facts
- NPI
- 1992398911
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 6708 Wild Fox LN
Prospect, KY 40059-9479 - Phone
- (502) 810-4268
- NPI assigned
- Feb 19, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
6708 Wild Fox LN
Prospect, KY 40059-9479
Mailing address
6708 Wild Fox LN
Prospect, KY 40059-9479
Phone (502) 810-4268
Other providers in Prospect, KY
- Kendra Denise Coleman
- Alyson Nicole Cooper
- Counseling Unconditionally, LLC
- Barbara Creek
- Jeffrey Gale Crenshaw
- CTM Consulting LLC.
- Jennifer Cullinan
- Sara Schmidt Cummins
- Kecia Dawson
- Martha Anderson Dewitt
All providers in Prospect, KY · Athletic Trainer in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.