Individual
ASHLYN MARIE TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASHLYN
Contact information
Practice address
5813 EMILY CT, MIDLOTHIAN, TX 76065-6929
(469) 716-9181
Mailing address
1333 W WASHINGTON ST, TARLETON MSAT DEPARTMENT, STEPHENVILLE, TX 76401
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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