Audrey Yager, LAT
Individual provider Active NPI Athletic Trainer · Luling, TX
NPI 1164035242 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1164035242
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT6965 (TX)
- Practice address
- 218 E Travis St
Luling, TX 78648-2900 - Phone
- (830) 875-2458
- NPI assigned
- Aug 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT6965 | TX | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT6965 | TX | Yes |
Addresses
Primary practice location
218 E Travis St
Luling, TX 78648-2900
Mailing address
218 E Travis St
Luling, TX 78648-2900
Phone (830) 875-2458
Other providers in Luling, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.