Individual
AMY LANGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, CSCS, PES
Contact information
Practice address
411 ESE LOOP323, TYLER, TX 75701-9633
(903) 262-2833
Mailing address
1113 MILLSTONE LN, CHANDLER, TX 75758-5714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3159
TX
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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