Individual
CODY JAMES PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
426 INDUSTRIAL AVE, SUITE 190, WILLISTON, VT 05495-4448
(802) 860-4360
(802) 488-3160
Mailing address
426 INDUSTRIAL AVE, SUITE 190, WILLISTON, VT 05495-4448
(802) 860-4360
(802) 488-3160
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1040096671
VT
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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