NPI 1053723882

Cody James Parker, ATC

Practitioner Athletic Trainer Williston, VT

Practice location

Address: 426 Industrial Ave Suite 190, Williston, VT 05495-4448
Phone: (802) 860-4360
Fax: (802) 488-3160

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1040096671 (VT)

Other Specialist/Technologist providers in Vermont →

Registry record

NPI: 1053723882
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 May 2014
Record last updated: 28 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.