Individual
LEWIS THOMAS PETMECKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.T.
Contact information
Practice address
14001 HIGHWAY 46 W, SPRING BRANCH, TX 78070-7053
(210) 559-0182
Mailing address
14001 HIGHWAY 46 W, SPRING BRANCH, TX 78070-7053
(210) 559-0182
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0808
TX
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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