Individual
LAUREL ELIZABETH TRAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, CES
Contact information
Practice address
4920 THISTLE DR APT 67, TYLER, TX 75703-2912
(928) 308-9993
Mailing address
4920 THISTLE DR APT 67, TYLER, TX 75703-2912
(903) 308-9993
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7484
TX
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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