Individual
JOHANNA PUETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.T.
Contact information
Practice address
412 DERBY LN, GEORGETOWN, TX 78626-6322
(512) 966-8045
Mailing address
412 DERBY LN, GEORGETOWN, TX 78626-6322
(512) 966-8045
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6184
TX
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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