Individual
MRS. HEATHER LYNNE WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, CSCS
Contact information
Practice address
351 LONG RUN, LIBERTY HILL, TX 78642-6344
(512) 426-1178
Mailing address
351 LONG RUN, LIBERTY HILL, TX 78642-6344
(512) 426-1178
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2422
TX
Other
Enumeration date
03/12/2017
Last updated
03/12/2017
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