Individual
GARTH JAMES BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, ATC, AT/L
Contact information
Practice address
200 PHYSICAL EDUCATION BUILDING, EASTERN WASHINGTON UNIVERSITY, CHENEY, WA 99004-2476
(509) 359-2427
(509) 359-4833
Mailing address
2608 WHEATON ST, CHENEY, WA 99004-2186
(509) 559-5232
(509) 359-4833
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160129194
WA
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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