Individual
RILEY ISIS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E STADIUM BLVD, COLUMBIA, MO 65211-3294
(816) 673-6578
Mailing address
5610 N BEAMAN AVE, KANSAS CITY, MO 64151-3294
(816) 673-6578
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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