Individual
EMILEE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
20316 RUSTIC VIEW RD SE, MONROE, WA 98272-7607
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160286048
WA
Other
Enumeration date
04/01/2019
Last updated
08/30/2022
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