Individual
BRENT WOODSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5290 ARENA CIR, LOVELAND, CO 80538-7019
(970) 619-4223
Mailing address
5290 ARENA CIR, LOVELAND, CO 80538-7019
(970) 619-4223
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001930
CO
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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