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

Individual provider Athletic Trainer · NPI 1477000883

Marshall Anderson, MSLATATC is an Athletic Trainer in Grand Prairie, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2016
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Practice location Address checks out

101 Gopher Blvd
Grand Prairie, TX 75051
Phone: (972) 809-5762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT2069 (TX)

Record details

NPI number1477000883
Entity typeIndividual (Type 1)
GenderMale
Credentials MSLATATC
Sole proprietorYes
NPI enumeratedSeptember 1, 2016
Last updated in NPPESSeptember 1, 2016

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