Individual
KIERA MATTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 REDBIRD LN, BEAUMONT, TX 77705-9801
(303) 323-5221
Mailing address
PO BOX 10066, BEAUMONT, TX 77710-0066
(303) 323-5221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
11/02/2020
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