Individual provider · NPI-1

Russell Arthur Betts, ATc, LAT

Specialist/Technologist, Athletic Trainer · Addison, TX

NPI number1093858797
StatusActive
Last updated in NPPESApr 20, 2010

Details

NPI
1093858797
Entity type
Individual (NPI-1)
Name
Mr. Russell Arthur Betts
Credential
ATc, LAT
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 14, 2007
Last updated
Apr 20, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAT2078TXYes

Practice location

17001 Addison Rd
Addison, TX 75001-5027

Phone 214-585-1025

Mailing address

1521 Silverleaf Dr
Carrollton, TX 75007-3919

Phone 214-585-1025

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