Individual
WADE D OLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CSCS
Contact information
Practice address
426 S 4TH ST, GADSDEN, AL 35901-5259
(256) 543-2981
Mailing address
60 VILLAGE TRACE DR, SPRINGVILLE, AL 35146-9001
(205) 467-3339
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
143
AL
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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