Robert Super, LAT, COF

NPI 1982838496 · on the registry since 2009 · sole proprietor

Practice

Address: 1255 W 15th St Ste 540
Plano, TX 75075
Phone: (410) 845-3929
Fax: (972) 767-3728
Organisation at this address: 411 Counseling
Ashlynn Barnette Lpc
Lucent Home Health Llc
Wilder Psychology, Pllc
Goshen Healthcare Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 63

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Also registered as: Orthotic Fitter
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-04-27

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