Individual
TERILYN HUMPHREY BRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2650 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7955
(928) 537-4300
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
10/17/2023
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