Individual
MIKAELAH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E LINGLEVILLE RD APT 4020, STEPHENVILLE, TX 76401-2110
(254) 258-7082
Mailing address
1000 E LINGLEVILLE RD APT 4020, STEPHENVILLE, TX 76401-2110
(254) 258-7082
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
170800185
CO
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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