Individual
SHAUNA WOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 YUCCA AVE, FORT WORTH, TX 76111
(817) 714-9000
Mailing address
7050 TERRA CHASE CV, 115, FORT WORTH, TX 76137-6595
(682) 404-8957
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
116557
TX
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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