Individual
HEATHER A LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
118 FIELDHOUSE, ALL AMERICAN DRIVE, THE UNIVERSITY OF MISSISSIPPI, UNIVERSITY, MS 38677
(662) 915-7536
(662) 915-5275
Mailing address
1802 JACKSON AVE W, #199, OXFORD, MS 38655-4361
(662) 801-8522
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0355
MS
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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