Individual
MALENA EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
3533 MATLOCK RD, ARLINGTON, TX 76015-3604
(817) 419-0303
Mailing address
8200 GLENN DAY DR APT 2210, ARLINGTON, TX 76002-4348
(817) 965-4618
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8520
TX
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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