Organization
NATIONAL ATHLETIC TRAINERS ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD CAMERON KIEFER LAT (LICENSED ATHLETIC TRAINER)
(972) 617-2075
Entity
Organization
Contact information
Practice address
154 LOUISE RITTER BLVD, RED OAK, TX 75154
(469) 437-2183
Mailing address
1341 E HIGHLAND RD, WAXAHACHIE, TX 75167-7203
(972) 617-2075
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
AT1418
TX
Other
Enumeration date
04/18/2007
Last updated
06/25/2008
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