Individual
KALYSSA MICHELLE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6804 STETSON DR, MIDLAND, TX 79705-2367
(432) 818-4265
Mailing address
1612 AVENUE Y, LUBBOCK, TX 79401-4416
(432) 818-4265
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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