Individual
MR. ERICK J KOZLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2168 FIELD HOUSE DR, US AIR FORCE, CO 80840-9599
(719) 333-0214
Mailing address
745 DERRY PL, COLORADO SPRINGS, CO 80918-7068
(719) 963-7340
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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