Individual
ABBY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
5901 SOUTHWEST PKWY, AUSTIN, TX 78735-6220
(512) 299-9734
Mailing address
5901 SOUTHWEST PKWY, AUSTIN, TX 78735-6220
(512) 299-9734
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
090002038
—
2255A2300X
Athletic Trainer
Primary
AT4658
TX
Other
Enumeration date
01/10/2017
Last updated
01/11/2017
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