Individual
MS. SARAH MICHAELA TOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(215) 896-1738
Mailing address
6501A ESCONDIDO DR, EL PASO, TX 79912-2942
(215) 896-1738
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8699
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000041256
ATC
—
01
—
AT8699
LAT
TX
Enumeration date
06/26/2019
Last updated
11/23/2022
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