Individual
JEREMY BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC,LAT
Contact information
Practice address
3449 BLUEWATER DR, LITTLE ELM, TX 75068-3425
(337) 316-1948
Mailing address
3449 BLUEWATER DR, LITTLE ELM, TX 75068-3425
(337) 316-1948
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5165
TX
Other
Enumeration date
05/28/2018
Last updated
05/28/2018
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