Individual
MADISON BETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16609 GREEN MAZE LN, HELOTES, TX 78023-3441
(210) 882-2246
Mailing address
16609 GREEN MAZE LN, HELOTES, TX 78023-3441
(210) 882-2246
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8854
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/27/2020
Last updated
01/07/2022
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