Individual
LIAM RETTENMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC,EMT
Contact information
Practice address
107 28TH ST APT 13, CANYON, TX 79015-3130
(847) 848-4475
Mailing address
107 28TH ST APT 13, CANYON, TX 79015-3130
(847) 848-4475
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/15/2019
Last updated
12/15/2019
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