Individual
MR. JASON CHRISTOPHER CRADDOCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
10501 FGCU BLVD S, COLLEGE OF HEALTH PROFESSIONS, FORT MYERS, FL 33965-6502
(239) 590-7535
(239) 590-7474
Mailing address
11431 BENT PINE DR, FORT MYERS, FL 33913-8112
(239) 274-5022
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 866
FL
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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