Individual
KENNEDY E GLADDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 TIGER DR, MARSHALL, TX 75670-1412
(903) 923-2227
Mailing address
1 TIGER DRIVE, ETBU BOX 6-1754, MARSHALL, TX 75670
(217) 264-3453
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000039307
IL
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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