Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CORY BLAINE PACK, ATC, LAT
ActiveMR. CORY BLAINE PACK, ATC, LAT is a Athletic Trainer healthcare provider located in WICHITA FALLS, Texas. NPI 1376759050 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WICHITA FALLS, TX
Registration Details
- NPI Number
- 1376759050
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2007 (19.20928983046 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT1804 (TX)
Practice Information
- Address
-
3410 TAFT BLVDWICHITA FALLS, TX, 763082036Browse TX providers · Browse ZIP 76308
- Phone
- 9403974824
- Fax
- 9403974901
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WICHITA FALLS, TX
| Name | Credential | NPI |
|---|---|---|
| MRS. STEPHANIE JOY POSTMA | ATC, LAT | 1619007416 |
| DUSTIN HOSTAS | LAT, ATC | 1215068994 |
| STEVEN A BAILEY | LAT, ATC | 1346371887 |
| CAITLIN TAYLOR HALL | MS, ATC, LAT | 1184033318 |
| GARY DIEHM | ATC | 1457742579 |
| MR. WILLIAM LYONS | LAT, ATC | 1932590742 |
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.