Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark Dominick, ATC

Individual provider Athletic Trainer · NPI 1255731527

Mr. Mark Dominick, ATC is an Athletic Trainer in Richmond, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

521 Lancaster Ave Moberly Bldg
Richmond, KY 40475-3100
Phone: (207) 272-6819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (KY)

Record details

NPI number1255731527
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedAugust 24, 2014
Last updated in NPPESAugust 24, 2014
Mailing address113 Chestnut Dr, Apartment #3, Richmond, KY 40475-7835

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