Individual
CODY STUBBLEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
301 N ELLA ST, SEARCY, AR 72143-3214
(501) 268-8315
Mailing address
301 N ELLA ST, SEARCY, AR 72143-3214
(615) 519-6460
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT797
AR
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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