Individual
ANDREA KAY LEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
4401 S CZECH HALL RD, MUSTANG, OK 73064-9571
(505) 249-6925
Mailing address
513 SEQUOIA DR, GARLAND, TX 75041-5156
(505) 249-6925
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT4686
TX
2255A2300X
Athletic Trainer
Primary
AT680
OK
Other
Enumeration date
02/16/2015
Last updated
01/17/2023
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