Individual
YUKIYO SHIMOSAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT, CSCS
Contact information
Practice address
6901 MEDICAL PKWY, WACO, TX 76712-7910
(254) 300-8764
Mailing address
PO BOX 705, TOLAR, TX 76476-0705
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6738
TX
Other
Enumeration date
06/21/2017
Last updated
04/18/2023
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