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Individual

DR. KERRY THUETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNTP

Contact information

Practice address
9000 MEMPHIS DR, LUBBOCK, TX 79423-3618
(510) 909-5461
Mailing address
9000 MEMPHIS DR, LUBBOCK, TX 79423-3618
(510) 909-5461

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
171400000X
Health & Wellness Coach
2255A2300X
Athletic Trainer

Other

Enumeration date
04/20/2021
Last updated
04/20/2021
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