Individual
SHYLA FLAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
1201 WESLEYAN ST, FORT WORTH, TX 76105-1536
(871) 531-7590
Mailing address
1022 W RECESS WAY, KUNA, ID 83634-2459
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
06/12/2022
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