Individual
THOMAS BRADLEY MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATHLETIC TRAINER
Contact information
Practice address
800 MAIN ST, GARDENDALE, AL 35071-2634
(205) 379-3600
Mailing address
970 ROBIN DR, MOUNT OLIVE, AL 35117-3832
(205) 608-3083
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
527
AL
Other
Enumeration date
12/21/2007
Last updated
01/03/2008
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