Bo Bryant, ATC, LAT
Specialist/Technologist, Athletic Trainer in Weatherford, TX. Individual provider (NPI-1).
NPI number1881228401
StatusActive
Last updated in NPPESFeb 24, 2020
Details
- NPI
- 1881228401
- Entity type
- Individual (NPI-1)
- Name
- Bo Bryant
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2020
- Certification date
- Feb 24, 2020
- Last updated
- Feb 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 6460 | TX | Yes |
Practice location
2121 Bethel RdWeatherford, TX 76087-9449
Phone 817-598-2858
Mailing address
2121 Bethel RdWeatherford, TX 76087-9449
Phone 817-598-2858
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