Individual
TAKISHA G EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
10511 MANOR CRK, SAN ANTONIO, TX 78245-2750
(210) 788-5248
Mailing address
10511 MANOR CRK, SAN ANTONIO, TX 78245-2750
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5693
TX
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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