Individual
ZAKIA TILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, CES
Contact information
Practice address
3527 HIGHWAY 6 STE 120, SUGAR LAND, TX 77478-4520
(832) 885-9747
Mailing address
9030 MAJESTY LN, RICHMOND, TX 77469-5698
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000013096
TX
2255A2300X
Athletic Trainer
AT5034
TX
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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