Individual
COY TANNER BARRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2820 W FREY ST APT 2310, STEPHENVILLE, TX 76401-1905
(940) 458-8570
Mailing address
2820 W FREY ST APT 2310, STEPHENVILLE, TX 76401-1905
(940) 452-8570
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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