Individual
MR. JOSHUA ZAKHARY STAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
5185 3RD INFANTRY DIVISION RD, FORT BENNING, GA 31905-5009
(765) 251-0556
Mailing address
4137 RIDGEFIELD DR, COLUMBUS, GA 31907-6223
(765) 251-0556
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
GA
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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