Individual
KALEIGH ANNE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2054 APPLEGATE ST, PHILOMATH, OR 97370-9354
(805) 218-4283
Mailing address
1542 WALLACE RD NW APT 121, SALEM, OR 97304-2672
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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