Individual
COREY M. DEBARBRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS, CES
Contact information
Practice address
7321 BALMER ST BLDG 570, HILL AFB, UT 84056-5012
(801) 775-2529
Mailing address
3211 SOUTH 2580 WEST, SYRACUSE, UT 84075
(419) 934-2204
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
003407
OH
2255A2300X
Athletic Trainer
Primary
11878522-4810
UT
2255A2300X
Athletic Trainer
AT640
NM
Other
Enumeration date
10/22/2014
Last updated
07/23/2021
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