Provider Demographics
NPI:1760401392
Name:STUCKEY, DAVID ALAN (ATC, LAT, EMT-I)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ALAN
Last Name:STUCKEY
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Gender:M
Credentials:ATC, LAT, EMT-I
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Mailing Address - Street 1:HARDIN-SIMMONS UNIVERSITY
Mailing Address - Street 2:HSU BOX 16180
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79698-6180
Mailing Address - Country:US
Mailing Address - Phone:325-670-1378
Mailing Address - Fax:325-670-1218
Practice Address - Street 1:HARDIN-SIMMONS UNIVERSITY
Practice Address - Street 2:HSU BOX 16180
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79698-6180
Practice Address - Country:US
Practice Address - Phone:325-670-1378
Practice Address - Fax:325-670-1218
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TX9392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer