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CRYSTAL MONIQUE FIX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC/L

Contact information

Practice address
1492 S MILL AVE, SUITE 113, TEMPE, AZ 85281-5652
(480) 257-2726
Mailing address
2629 W BEVERLY RD, PHOENIX, AZ 85041
(928) 607-4368

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0957
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0957
ARIZONA BOARD OF ATHLETIC TRAINING
AZ
01
1022867
NATIONAL ATHLETIC TRAINERS ASSOCIATION
01
BOC105800
BOARD OF CERTIFICATION
Enumeration date
02/09/2012
Last updated
02/10/2016
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