Individual
CORY TYLER DONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, LAT, ATC
Contact information
Practice address
2648 MAIN ST APT 8, HURRICANE, WV 25526-1439
(606) 939-9703
Mailing address
2648 MAIN ST APT 8, HURRICANE, WV 25526-1439
(606) 939-9703
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000033214
KY
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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