Individual
MS. MEREDITH LIN SWAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.T., A.T.C.
Contact information
Practice address
9750 FERGUSON RD, DALLAS, TX 75228-3818
(214) 324-3607
Mailing address
1835 VIEWCREST DR, DALLAS, TX 75228-4215
(682) 597-2093
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3088
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010502041
A.T.C. CERTIFICATION
TX
01
—
AT3088
ATHLETIC TRAINER
TX
Enumeration date
09/22/2006
Last updated
04/01/2012
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