Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lydia Danielle Breedlove

Individual provider Athletic Trainer · NPI 1194242545

Lydia Danielle Breedlove is an Athletic Trainer in Houston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

12310 Rincon Dr
Houston, TX 77077
Phone: (832) 377-9378
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 36442954 (TX)
Athletic Trainer Taxonomy 2255A2300X · Licence 36442954 (TX)

Record details

NPI number1194242545
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 26, 2017
Last updated in NPPESJuly 21, 2022
Mailing address12310 Rincon Dr, Houston, TX 77077-4828

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