Individual
ASHRITHA KOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 PIEDMONT DR, LEWISVILLE, TX 75067-7897
(972) 984-8470
Mailing address
2001 PIEDMONT DR, LEWISVILLE, TX 75067-7897
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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