Individual
MARY ERIN BOYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
3100 BEUTEL RD, LORENA, TX 76655
(979) 587-5920
Mailing address
3100 BEUTEL RD, LORENA, TX 76655
(979) 587-5920
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT5341
ATHLETIC TRAINER
TX
Enumeration date
08/05/2015
Last updated
03/11/2020
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