Individual
COURTNEY UPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4980 W SAHARA AVE STE 260, LAS VEGAS, NV 89146-3435
(610) 223-5944
Mailing address
1251 S CIMARRON RD APT 29, LAS VEGAS, NV 89117-1394
(864) 509-2055
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506533
NV
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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