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Organization
NATIONAL ATHLETIC TRAINERS ASSOCIATION
Active
Organization
NATIONAL ATHLETIC TRAINERS ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD CAMERON KIEFER LAT (LICENSED ATHLETIC TRAINER)
(972) 617-2075
Entity
Organization
Contact information
Practice address
154 LOUISE RITTER BLVD, RED OAK, TX 75154
(469) 437-2183
Mailing address
1341 E HIGHLAND RD, WAXAHACHIE, TX 75167-7203
(972) 617-2075
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
AT1418
TX
Other
Enumeration date
04/18/2007
Last updated
06/25/2008
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