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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARSHALL ANDERSON, MS LAT ATC

Active Sole Proprietor

MARSHALL ANDERSON, MS LAT ATC is a Athletic Trainer healthcare provider located in GRAND PRAIRIE, Texas. NPI 1477000883 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · GRAND PRAIRIE, TX

Registration Details

NPI Number
1477000883
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2016 (9.9217572970071 yrs)
Last Updated
Sep 1, 2016
License
AT2069 (TX)
Sole Proprietor
Yes

Practice Information

Address
101 GOPHER BOULEVARD
GRAND PRAIRIE, TX, 75051
Browse TX providers · Browse ZIP 75051
Phone
9728095762
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in GRAND PRAIRIE, TX

Name Credential NPI
MR. STEVE JOSEPH GUADALUPE A.T.C., L.A.T. 1174759195
JUSTIN THOMAS NADEAU ATC, LAT 1669971370
ANN MEINERS 1629533419
LANCE GHOLSTON 1851945513
MR. RANDALL WAYNE TAYLOR II 1639710130
LIZBETH PAOLA ALVAREZ ROLDAN 1316580780
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.