Individual
HEATHER CYNTHIA BALENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1 BEAR PL, WACO, TX 76798-0006
(336) 303-9917
Mailing address
215 WASHINGTON AVE APT 416, WACO, TX 76701-1454
(336) 303-9917
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7156
TX
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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