Individual
BRETT A WALDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, CSCS
Contact information
Practice address
1306 N EL PASO AVE, RUSSELLVILLE, AR 72801-8814
(479) 968-0642
(479) 498-6044
Mailing address
4520 VICTORIA DR, FORT SMITH, AR 72904-6364
(479) 285-4263
(479) 498-6044
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT313
AR
Other
Enumeration date
01/04/2007
Last updated
07/16/2015
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