Individual
MRS. JENNIFER LEE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
11530 BEATTIES FORD RD, HUNTERSVILLE, NC 28078-8460
(704) 519-7733
(980) 343-5990
Mailing address
11530 BEATTIES FORD RD, HUNTERSVILLE, NC 28078-8460
(704) 519-7733
(980) 343-5990
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0890
NC
Other
Enumeration date
04/10/2007
Last updated
02/04/2009
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