Individual
CHAD PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CES
Contact information
Practice address
4200 54TH AVE S, ST PETERSBURG, FL 33711-4744
(727) 864-8255
Mailing address
4200 54TH AVE S, ST PETERSBURG, FL 33711-4744
(727) 864-8255
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002108
VA
Other
Enumeration date
08/27/2014
Last updated
09/27/2019
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