Individual
MR. JACKY ANDREATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.AT, LAT, ATC
Contact information
Practice address
1163 HORTONS HOLLOW RD, LUFKIN, TX 75904
(940) 452-0807
Mailing address
1 COLUMBIA CT, LUFKIN, TX 75901-7212
(940) 452-0807
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3073
TX
Other
Enumeration date
01/26/2017
Last updated
08/09/2018
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