Individual
SARAH E WILLHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1530 COLEMAN RD, BETHANY, MO 64424-7141
(660) 414-6605
Mailing address
1530 COLEMAN RD, BETHANY, MO 64424-7141
(660) 414-6605
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2019022892
MO
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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