Individual
EMMA BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2806 PENLAND AVE NW, HUNTSVILLE, AL 35810-3349
(209) 914-1124
Mailing address
2806 PENLAND AVE NW, HUNTSVILLE, AL 35810-3349
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2075
AL
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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