Stephanie Medina, ATC

NPI 1609320571 · on the registry since 2016 · sole proprietor

Practice

Address: 1936 North St
Nacogdoches, TX 75965
Phone: (936) 468-4550
Organisation at this address: Stephen F Austin State University Sports Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas