Individual
MICHELLE BOYKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 W PLEASANT RIDGE RD, ARLINGTON, TX 76016-3410
(805) 801-9654
Mailing address
805 SAINT JOHNS DR, MANSFIELD, TX 76063-4057
(805) 801-9654
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5838
TX
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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