Individual
ERIC BRENDAN ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC, LAT
Contact information
Practice address
2800 ALUMNI BLVD, JONESBORO, AR 72401
(870) 972-3342
Mailing address
2800 ALUMNI BLVD, JONESBORO, AR 72401
(870) 972-3342
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 640
AR
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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