Individual
MR. MICHAEL VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., ATC, LAT
Contact information
Practice address
1850 AQUARENA SPRINGS DR, SAN MARCOS, TX 78666-8223
(502) 851-5542
Mailing address
1850 AQUARENA SPRINGS DR, SAN MARCOS, TX 78666-8223
(502) 851-5542
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6006
TX
Other
Enumeration date
01/07/2015
Last updated
04/22/2016
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