WINSTON PAUL LIGHTBODY

FORT BLISS, TX
NPI1487174736
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  4615)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  2601001752)
Enumeration Date2017-06-27
Last Update Date2022-10-05
Business Address
Mr. WINSTON PAUL LIGHTBODY MA, LAT, ATC
21275 LIGHT INFANTRY BLVD
FORT BLISS, TX 79918
Phone number: 915-996-2787
Mailing Address
Mr. WINSTON PAUL LIGHTBODY MA, LAT, ATC
3716 N 55TH ST
TAMPA, FL 33619-1426
Phone number: