Individual
SARAH ANN DETHLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT, CES
Contact information
Practice address
1200 BOBCAT BLVD, KRUM, TX 76249-6908
(940) 482-2611
Mailing address
1630 WITHERS WAY, KRUM, TX 76249-6845
(940) 210-5664
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000015397
TX
2255A2300X
Athletic Trainer
AT5502
TX
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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