Individual
EMMA GRACE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15163 W 146TH CIR, OLATHE, KS 66062
(913) 375-3820
Mailing address
15163 W 146TH CIR, OLATHE, KS 66062-6594
(913) 375-3820
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
KS
390200000X
Student in an Organized Health Care Education/Training Program
K03-07-4044
KS
Other
Enumeration date
09/13/2015
Last updated
06/21/2018
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