JOSHUA ZAKHARY STAKER

FORT BENNING, GA
NPI1801432430
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2019-11-19
Last Update Date2019-11-19
Business Address
Mr. JOSHUA ZAKHARY STAKER MS, ATC, LAT
5185 3RD INFANTRY DIVISION RD
FORT BENNING, GA 31905-5009
Phone number: 765-251-0556
Mailing Address
Mr. JOSHUA ZAKHARY STAKER MS, ATC, LAT
4137 RIDGEFIELD DR
COLUMBUS, GA 31907-6223
Phone number: 765-251-0556