Individual
MIKAYLA RENEE CASAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
2004 19TH ST, LUBBOCK, TX 79401-4606
(806) 219-1600
Mailing address
2004 19TH ST, LUBBOCK, TX 79401-4606
(806) 219-1600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT10471
TX
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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