Individual
TIMOTHY J CUDDEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
13123 E 16TH AVE, 102, AURORA, CO 80045-7106
(434) 249-2447
Mailing address
13333 EAST ASBURY DRIVE, 102, AURORA, CO 80014
(434) 249-2447
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001440
CO
Other
Enumeration date
01/30/2015
Last updated
12/11/2015
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