Individual
REBECCA ANN ENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
923 S 9TH ST, MIDLOTHIAN, TX 76065-3636
(972) 670-6875
Mailing address
350 SH 360, APT 1209, MANSFIELD, TX 76063-9041
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4027
TX
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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