Individual
MISS ASHLEY JANE MOREE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.A.T.
Contact information
Practice address
3322 RR 620 N, AUSTIN, TX 78738
(512) 533-6051
Mailing address
417 FANTAIL LOOP, LAKEWAY, TX 78734-4871
(512) 533-6051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2954
TX
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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