Individual
CARLY CUBBAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2150 STADIUM DR, 368 UCB, BOULDER, CO 80309-0001
(303) 492-3266
Mailing address
2150 STADIUM DR, 368 UCB, BOULDER, CO 80309-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001653
CO
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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