Individual
MRS. ELISA MARIE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1254 SE CENTURY DR, LEES SUMMIT, MO 64081-3286
(816) 668-8938
Mailing address
10609 OAKLAND AVE, KANSAS CITY, MO 64134-1947
(816) 668-8938
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2010022088
MO
Other
Enumeration date
07/25/2012
Last updated
06/20/2013
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