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Contact Information

MISTY D COLVEY, ATC, LAT
60 W FULBRIGHT AVENUE
WALNUT RIDGE, AR72476
 Phone: 870-759-4194
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for MISTY D COLVEY · (Female)

NPI # 1033609995
Status Active
Credentials ATC, LAT
Entity Individual
Enumeration date 05/16/2018
Last updated 05/16/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 384
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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