Individual
COURTNEY MAE GRAMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1201 WESLEYAN ST., FORT WORTH, TX 76105
(309) 826-8892
Mailing address
3617 VIENNE PL APT 2104, FORT WORTH, TX 76244-9662
(309) 826-8892
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.004271
IL
2255A2300X
Athletic Trainer
2000024157
—
2255A2300X
Athletic Trainer
Primary
AT6939
TX
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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