Individual
MEGAN WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
121 E FRANKLIN ST, HILLSBORO, TX 76645-2137
(254) 747-0780
Mailing address
401 E JACINTO ST, GROESBECK, TX 76642-1523
(254) 747-0780
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5880
TX
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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