Individual
IBAYAR A PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT,ATC
Contact information
Practice address
2114 RIMROCK ST, KEMAH, TX 77565-2215
(281) 678-2575
Mailing address
2114 RIMROCK ST, KEMAH, TX 77565-2215
(281) 678-2575
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000039032
—
2255A2300X
Athletic Trainer
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
03/05/2019
Last updated
07/22/2020
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