Individual
ASHLEY DANELLE WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2695 S SOUTHWEST LOOP 323, TYLER, TX 75701-0753
(918) 289-9124
Mailing address
1505 W GRANDE BLVD, APT. 812, TYLER, TX 75703-0602
(918) 289-9124
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6726
TX
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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