Individual
KENDALL PAIGE GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MLA, ATC, LAT
Contact information
Practice address
2650 W OVERHILL DR, STEPHENVILLE, TX 76401-1972
(254) 552-6425
Mailing address
870 N CHARLOTTE AVE, STEPHENVILLE, TX 76401-2811
(940) 642-9227
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4101
TX
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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