Audrey Yager, LAT
Specialist/Technologist, Athletic Trainer in Luling, TX. Individual provider (NPI-1).
NPI number1164035242
StatusActive
Last updated in NPPESAug 28, 2020
Details
- NPI
- 1164035242
- Entity type
- Individual (NPI-1)
- Name
- Ms. Audrey Yager
- Credential
- LAT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2020
- Certification date
- Aug 27, 2020
- Last updated
- Aug 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT6965 | TX | Yes |
Practice location
218 E Travis StLuling, TX 78648-2900
Phone 830-875-2458
Mailing address
218 E Travis StLuling, TX 78648-2900
Phone 830-875-2458
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