IndividualActive
Donald Fuller, PHD, ATC, LAT
NPI 1649872201 · Athletic Trainer · Barbourville, KY
Provider details
- NPI number
- 1649872201
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PHD, ATC, LAT
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT1608 (KY)
Mailing address
310 College St
Barbourville, KY 40906-1499
Registry dates
- Enumerated
- 2020-11-09
- Last updated
- 2020-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.