Individual
KATELYN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
400 S JEFFERSON ST, HILLSBORO, KS 67063-1758
(620) 947-3121
Mailing address
314 N MAIN ST, HILLSBORO, KS 67063-1225
(316) 648-0955
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01296
KS
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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