Individual
BETHANY STANFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6910 CARLTON DR, USAF ACADEMY, CO 80840-1504
(719) 234-2485
Mailing address
6910 CARLTON DR, USAF ACADEMY, CO 80840-1504
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0000543
CO
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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