Individual
AMY MIKAHIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
18738 WOOD GLEN LN, HOUSTON, TX 77084-3832
(832) 748-1155
Mailing address
18738 WOOD GLEN LN, HOUSTON, TX 77084-3832
(832) 748-1155
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2021
Last updated
08/04/2023
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