Individual
GREGORY AARON ANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LAT, ATC, PTA
Contact information
Practice address
2525 N GRANDVIEW AVE, SUITE 400, ODESSA, TX 79761-1600
(432) 550-4700
(432) 550-4715
Mailing address
47 HAWAII CV, ODESSA, TX 79762-4909
(432) 553-3131
(432) 550-4715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2089219
TX
2255A2300X
Athletic Trainer
AT 1622
TX
Other
Enumeration date
02/16/2007
Last updated
03/22/2013
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