Provider Demographics
NPI:1013901016
Name:FUCHS, ERIC J (ATC)
Entity Type:Individual
Prefix:PROF
First Name:ERIC
Middle Name:J
Last Name:FUCHS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1415 FAIRLANE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-1138
Mailing Address - Country:US
Mailing Address - Phone:859-582-3042
Mailing Address - Fax:859-622-1254
Practice Address - Street 1:521 LANCASTER AVE
Practice Address - Street 2:DEPT.. EXERCISE & SPORT SCIENCE MOBERLY 109
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-3100
Practice Address - Country:US
Practice Address - Phone:859-622-8173
Practice Address - Fax:859-622-1254
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTCA212255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer