Individual
GRANT LOUIS BARGENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1500 S. UNIVERSITY PARKS DR, BAYLOR ATHLETIC TRAINING, WACO, TX 76706
(715) 507-1151
Mailing address
PO BOX 274, 112 E MAPLE ST, EDGAR, WI 54426-0274
(715) 507-1151
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6330
TX
Other
Enumeration date
04/19/2015
Last updated
01/11/2017
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