Individual
HOLLIE WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
401 N LINCOLN ST, CABOT, AR 72023-2625
(501) 843-3562
Mailing address
2429 PALISADE DR, CABOT, AR 72023-3684
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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