Individual
CHRISTINA ELAINE RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT
Contact information
Practice address
900 COLLEGE ST, BELTON, TX 76513-2599
(254) 652-1172
Mailing address
900 COLLEGE ST, BELTON, TX 76513-2599
(254) 652-1172
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4779
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831533637
ATHLETIC TRAINING
TX
Enumeration date
04/23/2013
Last updated
04/15/2020
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