Individual
COREY V STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
7397 JOSHUA TRCE, CANAL WINCHESTER, OH 43110-7002
(740) 816-8420
Mailing address
7397 JOSHUA TRCE, CANAL WINCHESTER, OH 43110-7002
(740) 816-8420
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004531
OH
Other
Enumeration date
12/08/2014
Last updated
08/24/2021
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