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JONI MADDOX DAT, ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1164838041

Individual Registrant:
 JONI  MADDOX DAT, ATC
Gender: F
Sole Proprietor

Location and contact information for practice:
100 NORTH WASHINGTON STREET  LIVINGSTON, AL 35085-6757 US
Tel: 205-233-0932  Fax: --

Contact information for business:
100 NORTH WASHINGTON STREET UWA STATION 14 LIVINGSTON, AL 35470-6757 US
Tel: 205-365-3455  Fax: --

Registration Information:
NPI: 1164838041
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
AL1017

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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