Individual
MOLLY KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1320 COLLABORATIVE WAY, LEANDER, TX 78641-9081
(512) 570-1480
Mailing address
1412 MOSS CREEK DR, LEANDER, TX 78641-2918
(626) 826-5433
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5148
TX
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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