MR. Michael Alan Waters, LAT, ATC, CSCS

NPI #1861469512 in Lufkin, Texas

Provider Information

NPI Number: 1861469512
Entity Type: Individual
Name: MR. Michael Alan Waters, LAT, ATC, CSCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LAT, ATC, CSCS
Enumeration Date: Mar 1, 2006
Last Updated: Apr 16, 2009

Practice Location

Address: 309 S. MEDFORD DR.
City: Lufkin
State: Texas
ZIP Code: 75901-5245
Phone: (936) 632-7656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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