Individual
MR. EDWARD ROBERT BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T,C. L.A.T.
Contact information
Practice address
176 CCC CAMP RD, BRENT, AL 35034-2650
(205) 225-0779
Mailing address
176 CCC CAMP RD, BRENT, AL 35034-2650
(205) 225-0779
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 0589
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT0589
LICENSED ATHLETIC TRAINER
TX
Enumeration date
04/27/2006
Last updated
07/08/2007
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