Individual
DEVIN NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
104 S 28TH ST., CANYON, TX 79015
(806) 651-3641
Mailing address
PO BOX 612, CANYON, TX 79015-0612
(504) 578-0405
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7344
TX
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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