Individual
MS. ELLEN SUTPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2830 16TH ST NE APT 45, HICKORY, NC 28601-8608
(515) 402-5161
Mailing address
2830 16TH ST NE APT 45, HICKORY, NC 28601-8608
(515) 402-5161
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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