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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COREY STAUB

Active Sole Proprietor

COREY STAUB is a Athletic Trainer healthcare provider located in WEST WARWICK, Rhode Island. NPI 1114325305 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WEST WARWICK, RI

Registration Details

NPI Number
1114325305
Provider Type
Individual
Gender
Male
NPI Issued
Dec 20, 2014 (11.623879686813 yrs)
Last Updated
Dec 20, 2014
License
3190437 (RI)
Sole Proprietor
Yes

Practice Information

Address
6 DRAWBRIDGE DR
WEST WARWICK, RI, 028935579
Browse RI providers · Browse ZIP 02893
Phone
4015245417
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in WEST WARWICK, RI

Name Credential NPI
MS. MITZI KIM DUSIN MS, ATC 1477685865
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.