Individual
EMILY ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 BONFORTE BLVD, PUEBLO, CO 81001-4901
(719) 549-2100
Mailing address
5002 PIONEER RD, PUEBLO, CO 81008-1894
(817) 675-6322
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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