MR. Alex A Mcculloch, LAT, ATC

NPI #1760477814 in Fort Worth, Texas

Provider Information

NPI Number
1760477814
Entity Type
Individual
Name
MR. Alex A Mcculloch, LAT, ATC
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
Sep 14, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
3857 WASHBURN AVE
State
Texas
ZIP Code
76107-3954
Phone
(817) 732-8050

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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