Evelyn Jean Tidwell, M ED, LAT, RMT

NPI #1821416710 in Buda, Texas

Provider Information

NPI Number
1821416710
Entity Type
Individual
Name
Evelyn Jean Tidwell, M ED, LAT, RMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
M ED, LAT, RMT
Enumeration Date
Mar 29, 2014
Last Updated
Mar 29, 2014

Practice Location

Address
319 POND VIEW PASS
City
Buda
State
Texas
ZIP Code
78610-3613
Phone
(210) 573-4165

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer
Massage Therapist

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