Individual
MRS. WHITNEY RACHEL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
22 SOUTHPARK SHOPPING CTR, NASHVILLE, AR 71852-3307
(870) 845-5600
Mailing address
221 N. 10TH, DE QUEEN, AR 71832-3003
(870) 582-4201
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT439
AR
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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