Individual
CHERESSE KINCAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 LAURENCE DR, RHHS ATHLETICS, ROCKWALL, TX 75032-1953
(972) 822-8869
Mailing address
1050 WILLIAMS ST, ROCKWALL ISD ATHLETICS, ROCKWALL, TX 75087-2600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000009769
TX
2255A2300X
Athletic Trainer
AT6136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000009769
NATABOC
—
01
—
AT6136
LISCENCED ATHLETIC TRAINER
TX
Enumeration date
01/26/2015
Last updated
01/26/2015
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