Tim Woodstock, ATC
NPI #1043743545 in Belleville, Illinois
Provider Information
- NPI Number
- 1043743545
- Entity Type
- Individual
- Name
- Tim Woodstock, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Apr 11, 2017
- Last Updated
- Apr 11, 2017
Practice Location
- Address
- 2600 W MAIN ST
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-6651
- Phone
- (618) 239-6386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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