Individual
KELCEY COTTLE VANDERBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT
Contact information
Practice address
900 E 43RD ST, SAN ANGELO, TX 76903-1845
(325) 659-3500
Mailing address
900 E 43RD ST, SAN ANGELO, TX 76903-1845
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4447
TX
Other
Enumeration date
10/27/2011
Last updated
05/02/2018
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