Ian Underwood
Ian Underwood is an Athletic Trainer in Fort Worth, Texas. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
5204 Emmeryville LnFort Worth, TX 76244-6200
Phone: (682) 351-4040
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1770115099 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 5, 2020 |
| Last updated in NPPES | February 5, 2020 |
| Certification date | February 5, 2020 |
| Mailing address | 5204 Emmeryville Ln, Fort Worth, TX 76244-6200 |
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