Individual
ERICA ENGELHAUPT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4525 DOWNS DR, SAINT JOSEPH, MO 64507-2246
(785) 259-2363
Mailing address
1108 N 24TH ST, SAINT JOSEPH, MO 64506-2721
(785) 259-2363
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
24-00951
KS
2255A2300X
Athletic Trainer
Primary
—
MO
Other
Enumeration date
04/12/2016
Last updated
08/09/2021
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