Individual
MASASHI YAMAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, LMT, ATC
Contact information
Practice address
3337 KIEST FOREST CT, DALLAS, TX 75233-2552
(214) 952-3183
Mailing address
3337 KIEST FOREST CT, DALLAS, TX 75233-2552
(214) 952-3183
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4372
TX
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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