TRACY HOUSTON

PRAIRIE GROVE, AR
NPI1164819330
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR  110102278)
Enumeration Date2015-04-24
Last Update Date2015-04-24
Business Address
-- TRACY HOUSTON ATC
500 COLE DR
PRAIRIE GROVE, AR 72753-2509
Phone number: 479-846-4212
Mailing Address
-- TRACY HOUSTON ATC
13641 LOREN LN
FAYETTEVILLE, AR 72704-8413
Phone number: 479-422-0218
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