Brittany Jacquelyn Elmore, ATC
Specialist/Technologist, Athletic Trainer in Central Point, OR. Individual provider (NPI-1).
NPI number1265980296
StatusActive
Last updated in NPPESSep 19, 2016
Details
- NPI
- 1265980296
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Brittany Jacquelyn Elmore
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2016
- Last updated
- Sep 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT-AT-10158622 | OR | Yes |
Practice location
655 N 3rd StCentral Point, OR 97502-1876
Phone 541-630-0705
Mailing address
563 Berrydale AveMedford, OR 97501-1619
Phone 541-670-0113
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