Individual
KRYSTAL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1102 SEVEN IRON WAY, SAN ANTONIO, TX 78221-3158
(956) 624-4591
Mailing address
1102 SEVEN IRON WAY, SAN ANTONIO, TX 78221-3158
(956) 624-4591
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000053719
TX
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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