Calista Marie Fasano, LAT, ATC
NPI #1750003851 in Huntsville, Texas
Provider Information
- NPI Number
- 1750003851
- Entity Type
- Individual
- Name
- Calista Marie Fasano, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Sep 15, 2022
- Last Updated
- Sep 15, 2022
Practice Location
- Address
- 620 BOWERS BLVD
- City
- Huntsville
- State
- Texas
- ZIP Code
- 77341-0001
- Phone
- (936) 294-3532
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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