NPI 1104227529

Eboni Coffey, ATCLAT

Practitioner Athletic Trainer Columbia, MD

Practice location

Address: 9410 Kilimanjaro Rd, Columbia, MD 21045-3955
Phone: (410) 313-6945
Fax: (410) 313-6948
Mailing address: 1114 Pine Heights Ave, Baltimore, MD 21229-5210

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence A0000195 (MD)

Other Specialist/Technologist providers in Maryland →

Registry record

NPI: 1104227529
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Sep 2014
Record last updated: 5 Sep 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.