Individual
GABRIELLE DEBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2270 KENTUCKY AVE, FORT CAMPBELL, KY 42223-5362
(270) 798-4023
Mailing address
2270 KENTUCKY AVE, FORT CAMPBELL, KY 42223-5362
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT10135
TX
Other
Enumeration date
08/25/2022
Last updated
10/29/2025
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