Individual
SUSAN NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE, ATC, LAT
Contact information
Practice address
19428 I-45 NORTH, SPRING, TX 77373
(281) 891-7084
(281) 891-7082
Mailing address
17022 HILL VIEW LN, SPRING, TX 77379-4536
(281) 736-5563
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3765
TX
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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