Individual
HEATHER ANN FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 RUSSEL LONG BLVD, CANYON, TX 79016-0001
(806) 651-3642
(806) 651-4409
Mailing address
3 CYPRESS ST, CANYON, TX 79015-1739
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4667
TX
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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