Individual
ASHLEY GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4949 N 7TH ST APT 460, PHOENIX, AZ 85014-3944
(269) 470-2194
Mailing address
105 E LAUREL AVE APT 307, LAKE FOREST, IL 60045-1270
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/14/2015
Last updated
05/07/2024
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