MR. Justin Wise Hargrove, ATC, LAT
NPI #1114340387 in Mount Pleasant, Texas
Provider Information
- NPI Number
- 1114340387
- Entity Type
- Individual
- Name
- MR. Justin Wise Hargrove, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Jan 24, 2014
- Last Updated
- Sep 7, 2016
Practice Location
- Address
- 2110 N EDWARDS AVE
- City
- Mount Pleasant
- State
- Texas
- ZIP Code
- 75455-2011
- Phone
- (903) 434-8584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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