Individual
JOCELYN AMANDA MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1100 HENDERSON ST, BOX 7630, ARKADELPHIA, AR 71999-0001
(870) 230-5426
(870) 230-5175
Mailing address
1100 HENDERSON ST, BOX 7630, ARKADELPHIA, AR 71999-0001
(870) 230-5426
(870) 230-5175
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 380
AR
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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