Individual
MR. JEREMY DANIEL KALLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
16323 SILVER SKY LN, HOUSTON, TX 77095-1515
(281) 743-5267
Mailing address
16323 SILVER SKY LN, HOUSTON, TX 77095-1515
(281) 743-5267
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5562
TX
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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