Individual
BRANDI STRAESSLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1314 SPEIGHT AVE, APT #4, WACO, TX 76706-2155
(573) 220-7987
Mailing address
908 CRESTVIEW DR, CUSHING, OK 74023-4702
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000000499
—
2255A2300X
Athletic Trainer
AT4386
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000000499
NATA BOC
—
01
—
AT4386
STATE ATHLETIC TRAINING LICENSURE
TX
Enumeration date
04/09/2009
Last updated
04/09/2009
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