BRENT SIPE

PORTER, TX
NPI1477823573
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence:   069402691)
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TX  AT1217)
Enumeration Date2012-01-05
Last Update Date2017-01-04
Business Address
MR. BRENT SIPE ATC, LAT
22784 HIGHWAY 59
PORTER, TX 77365-6425
Phone number: 281-577-8630
Mailing Address
MR. BRENT SIPE ATC, LAT
22784 HIGHWAY 59
PORTER, TX 77365-6425
Phone number: 281-577-8630