Provider First Line Business Practice Location Address:
720 SPORTS CENTER DRIVE
Provider Second Line Business Practice Location Address:
SPORTS MEDICINE RESEARCH INSTITUTE
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-323-9850
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/06/2011