Individual
MS. AUDREY YAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
218 E TRAVIS ST, LULING, TX 78648-2900
(830) 875-2458
Mailing address
218 E TRAVIS ST, LULING, TX 78648-2900
(830) 875-2458
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6965
TX
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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