Individual
BOBBY FEEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 COWBOYS PKWY, IRVING, TX 75063-4924
(859) 588-5582
Mailing address
3900 GRAPEVINE MILLS PKWY, APT 3237, GRAPEVINE, TX 76051-1989
(859) 588-5582
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6010
TX
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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