Individual
MR. TIMOTHY WAYNE HORSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
121 ELLICOTT DR., ROANOKE, TX 76262
(817) 854-0792
Mailing address
121 ELLICOTT DR., ROANOKE, TX 76262
(817) 854-0792
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2861
TX
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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