David Wayne Viaclovsky, LAT Valid NPI

Individual provider · Athletic Trainer · Rosenberg, TX

NPI

1578896874

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

AT1534 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-09-17

Last updated

2009-09-17