Individual
KOLTEN ELIZABETH ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4400 S MLK JR PARKWAY, BEAUMONT, TX 77705
(409) 880-2359
Mailing address
512 BUTTERNUT RD, GRANDVIEW, WA 98930-9317
(509) 830-0475
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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