Individual
MEGAN MULREADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2121 W MAIN ST APT 3023, MESA, AZ 85201-9090
(510) 295-8193
(510) 295-8193
Mailing address
2121 W MAIN ST APT 3023, MESA, AZ 85201-9090
(510) 295-8193
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000028489
BOARD OF CERTIFICATION ATHLETIC TRAINING
—
Enumeration date
07/23/2017
Last updated
07/23/2017
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