Individual
KEN STATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 N LOOP 1604 E APT 4306, SAN ANTONIO, TX 78232-1280
(210) 717-6910
Mailing address
215 N LOOP 1604 E APT 4306, SAN ANTONIO, TX 78232-1280
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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