Individual provider · Type 1 NPI

Ally Kirsten Tywater

Student in an Organized Health Care Education/Training Program · Nacogdoches, TX

NPI number 1336969096 Active

Practice location

823 Evelyn St
Nacogdoches, TX 75964-4021

Call (409) 429-8370 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336969096

Ally Kirsten Tywater's National Provider Identifier is 1336969096, issued on Oct 16, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nacogdoches, TX. The record was last updated on Oct 16, 2024.