DUSTIN GAULT

LUBBOCK, TX
NPI1932592789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172M00000X Mechanotherapist
(Licence: TX  2097086)
Enumeration Date2015-03-17
Last Update Date2015-03-17
Business Address
-- DUSTIN GAULT PTA
7307 UNIVERSITY AVE
LUBBOCK, TX 79423-1422
Phone number: 806-412-4200
Mailing Address
-- DUSTIN GAULT PTA
7307 UNIVERSITY AVE
LUBBOCK, TX 79423-1422
Phone number: 806-412-4200