MARSHALL ANDERSON

GRAND PRAIRIE, TX
NPI1477000883
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT2069)
Enumeration Date2016-09-01
Last Update Date2016-09-01
Business Address
-- MARSHALL ANDERSON MS LAT ATC
101 GOPHER BOULEVARD
GRAND PRAIRIE, TX 75051
Phone number: 972-809-5762
Mailing Address
-- MARSHALL ANDERSON MS LAT ATC
1204 GENESIS DR
MANSFIELD, TX 76063-8650
Phone number: 214-912-4130