Individual
MISS HOLLY PAIGE WILCOXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1209 HARRISON AVE, GOODLAND, KS 67735-3441
(785) 890-3641
Mailing address
1209 HARRISON AVE, GOODLAND, KS 67735-3441
(785) 890-3641
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01345
KS
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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