Individual
MICKAELLA LEE HERRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, MAT, LAT
Contact information
Practice address
1426 S HOUSTON ST, BULLARD, TX 75757-5555
(903) 894-2862
Mailing address
17182 PINTAIL DR, FLINT, TX 75762-9610
(701) 840-0949
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9595
TX
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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