Individual
ELISSA ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
164 PLANTATION DR E, HEBER SPRINGS, AR 72543-9059
(501) 691-2252
Mailing address
164 PLANTATION DR E, HEBER SPRINGS, AR 72543-9059
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
069702389
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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