Individual
MR. JERRY SALAZAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
4139 LONGVALE DR, SAN ANTONIO, TX 78217-3524
(210) 310-5418
Mailing address
4139 LONGVALE DR, SAN ANTONIO, TX 78217-3524
(210) 310-5418
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5988
TX
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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