Individual
CHARISMA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 S 4TH ST, LEAVENWORTH, KS 66048-5082
(913) 758-6245
Mailing address
5721 CHESTNUT AVE, KANSAS CITY, MO 64130-3713
(816) 223-9102
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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