Individual
SHAYLEE JADE FOUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, ATC, LAT, PES
Contact information
Practice address
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145-8716
(405) 734-9595
Mailing address
3731 STONERIDGE DR, FLINT, TX 75762-6942
(308) 991-6306
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7166
TX
Other
Enumeration date
11/14/2019
Last updated
06/23/2023
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