CODY ANDREIS

PUEBLO, CO
NPI1952085292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO  AT.0002476)
Enumeration Date2023-06-14
Last Update Date2023-06-14
Business Address
CODY ANDREIS LAT, ATC
2200 BONFORTE BLVD
PUEBLO, CO 81001-4901
Phone number: 719-242-4364
Mailing Address
CODY ANDREIS LAT, ATC
1316 N RAYNOLDS AVE
CANON CITY, CO 81212-8425
Phone number: 719-242-4364
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