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

MS. Micqauella Renea Lopez, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1033993514

MS. Micqauella Renea Lopez, MS, LAT, ATC is an Athletic Trainer in San Antonio, Texas. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4301 Broadway
San Antonio, TX 78209-6318
Phone: (956) 651-2555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1033993514
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC
Sole proprietorYes
NPI enumeratedAugust 24, 2023
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

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