Individual
CARRIE LEONE JILEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1120 S ASH ST, OTTAWA, KS 66067-3415
(785) 229-8020
Mailing address
3159 CLARK RD, RICHMOND, KS 66080-9196
(785) 835-6505
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00179
KS
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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