Individual
MEGAN POTTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LMT, LAT, ATC
Contact information
Practice address
2237 S JACKSON ST, SAN ANGELO, TX 76904-5131
(325) 481-2257
Mailing address
5925 MERRICK ST, SAN ANGELO, TX 76904-1305
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2054
WI
Other
Enumeration date
02/04/2020
Last updated
01/19/2023
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