Individual
MICHAEL JAMES MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1910 E FM 1187, ALEDO, TX 76008-4657
(817) 888-0114
Mailing address
1910 E FM 1187, ALEDO, TX 76008-4657
(817) 888-0114
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000042577
KS
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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