Individual
MICHAEL KUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
5700 DACY LN, BUDA, TX 78610-5904
(304) 646-9171
Mailing address
1701 MILL ST UNIT 24104B, SAN MARCOS, TX 78666-7084
(304) 646-9171
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75491
NATIONAL ATHLETIC TRAINERS' ASSOCIATION
OH
Enumeration date
01/22/2017
Last updated
01/14/2020
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