Individual
ELIZABETH VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT, CES
Contact information
Practice address
704 NE 40TH AVE, MINERAL WELLS, TX 76067-8346
(940) 328-5992
Mailing address
704 NE 40TH AVE, MINERAL WELLS, TX 76067-8346
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000009364
—
2255A2300X
Athletic Trainer
AT5246
TX
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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