Individual provider · Type 1 NPI

Michael Alan Waters, LAT, ATC, CSCS

Specialist · Lufkin, TX

NPI number 1861469512 Active

Practice location

309 S. Medford Dr.
Lufkin, TX 75901-5245

Call (936) 632-7656 Map

Fax (936) 634-1091

Mailing address

906 Willow Oak St
Diboll, TX 75941-9773

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XAT0945 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1861469512

Michael Alan Waters, LAT, ATC, CSCS's National Provider Identifier is 1861469512, issued on Mar 1, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lufkin, TX. The record was last updated on Apr 16, 2009.