Individual
MS. IVONETE CAROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
13802 N HIGHWAY 183, AUSTIN, TX 78750-1203
(512) 249-6724
Mailing address
8125 JOY RD, LEANDER, TX 78641-9651
(972) 342-6664
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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