Individual
HEATHER BYRD HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC,LAT
Contact information
Practice address
394 N NC 111 HWY, BEULAVILLE, NC 28518-8532
(910) 298-4535
Mailing address
394 N NC 111 HWY, BEULAVILLE, NC 28518-8532
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-1726
NC
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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