Individual
AVERY TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 AVENUE D, DENTON, TX 76201
(940) 565-2557
Mailing address
211 OLD CHISHOLM TRL, RHOME, TX 76078-4247
(402) 830-1296
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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