Individual
MRS. MISTY DAWN COLVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
60 W FULBRIGHT AVENUE, WALNUT RIDGE, AR 72476
(870) 759-4194
Mailing address
707 CREST DRIVE, JONESBORO, AR 72401
(870) 307-5900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
384
AR
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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