Jeremy Bolden, ATC,LAT
NPI #1801387667 in Little Elm, Texas
Provider Information
- NPI Number
- 1801387667
- Entity Type
- Individual
- Name
- Jeremy Bolden, ATC,LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC,LAT
- Enumeration Date
- May 28, 2018
- Last Updated
- May 28, 2018
Practice Location
- Address
- 3449 BLUEWATER DR
- City
- Little Elm
- State
- Texas
- ZIP Code
- 75068-3425
- Phone
- (337) 316-1948
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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