Individual
AIRIKA J PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
809 PRYOR DR, ARLINGTON, TX 76001-7397
(817) 995-0362
Mailing address
809 PRYOR DR, ARLINGTON, TX 76001-7397
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6510
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT6510
ATHLETIC TRAINER
TX
Enumeration date
07/21/2016
Last updated
02/07/2017
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