Individual
MR. LATREAL TEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UWA, STATION 14, LIVINGSTON, AL 35470
(205) 652-3872
Mailing address
13 PARKPLACE APTS II, LIVINGSTON, AL 35470-5732
(256) 295-4033
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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