Individual
BRITTANI THIBODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4103 W SLAUGHTER LN, AUSTIN, TX 78749-6953
(512) 414-0523
Mailing address
4103 W SLAUGHTER LN, AUSTIN, TX 78749-6953
(512) 414-0523
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3811
TX
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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