Individual
JEREMIAH BERRYHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1711 E SARAH DEWITT DR., GONZALES, TX 78629
(830) 672-9551
Mailing address
1711 E SARAH DEWITT DR., GONZALES, TX 78629
(830) 672-9551
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6685
TX
Other
Enumeration date
07/14/2017
Last updated
11/27/2018
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