Individual
AMY TULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8240 COLUMBIA DR, TYLER, TX 75703-5108
(512) 820-2949
Mailing address
8240 COLUMBIA DR, TYLER, TX 75703-5108
(512) 820-2949
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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