NPI 1114931193

Ginger a Lavalle, MALATATC

Practitioner Athletic Trainer Magnolia, AR

Practice location

Address: 100 E University, Magnolia, AR 71753-2181
Phone: (870) 235-5229
Mailing address: PO Box 9352 100 E University, Magnolia, AR 71754-9352

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 347 (AR)

Other Specialist/Technologist providers in Arkansas →

Registry record

NPI: 1114931193
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.